Summer Softball Clinic Registration

2020 Summer Softball Day Clinic Registration

Player's Name*
First Last
Home Address*
Street Address Address Line 2 City State ZIP Code
Parent's Email*
Cell Phone*
Age*
Birth Date*
Date Format: MM slash DD slash YYYY
Gender*
Grade*
School*
Height
Feet*
Inches*
Weight*
Position*
Summer Softball Clinic*
- 6u & 8u Summer Softball Session 1 $45
- 10u & 12u Summer Softball Session 2 $45
- 14 and up Summer Softball Session 3 $45
Camp Total
$0.00
Parents Consent*
- My child is in excellent physical health and capable of participating in strenuous physical activity, and waive Nineteen 9 Sports Inc and Riverfront Sports and/or their assigned staff, coaches or assigned responsible person/s of any and all responsibilities for injury or illness. I hereby authorize the director of Riverfront Sports or Their assigned responsible person to act for me according to their best judgment in any emergency requiring medical attention. I understand that I am solely responsible for the payment of any such medical expenses and must provide Riverfront Sports with proof of insurance. I also understand that my payments are non-refundable, non-transferable under any circumstances.
Payment Method*
Credit card payments will be processed securely via QuickBook Payments. We do not store or save any credit card data on the Backcourt Hoops website.
- Credit Card
- Check
Billing Address*
Same as Home Address

Street Address Address Line 2 City State ZIP Code
Credit Card*

American Express
Discover
MasterCard
Visa
Card Number Expiration Date Security Code Cardholder Name
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Comments
This field is for validation purposes and should be left unchanged.

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