Willie Wilson Raytown Clinic Registration 2008
Event Information
Willie Wilson Raytown Clinic
Date and Time:
May 3rd and May 4th, 2008 from 12:00 p.m. – 4:00 p.m.
Cost:
$50.00
Location:
RSA Fields
12901 Frost Road
Kansas City, KS 64138
Registration Form
Please complete the registration form below. Required fields are marked in red.
First Name:
*
Last Name:
*
Age:
*
Address:
*
Address 2:
City
*
, State
*
& Zipcode:
*
,
Email:
*
Parent/Guardian Name:
*
Parent/Guarding Phone:
*
Emergency Contact Name:
*
Emergency Contact Phone:
*
T-Shirt Size:
*
Please Choose...
Children S
Children M
Children L
Children XL
Children XXL
Adult S
Adult M
Adult L
Adult XL
Adult XXL
Comments:
Method of Payment:
*
Please Choose...
Paypal
Check
If you have selected Paypal:
You will be redirected to Paypal once you submit this form where you must continue with payment
If you have selected Check:
Please mail payment in the amount of $50.00 to:
Willie Wilson Baseball
P. O. Box 34665
Kansas City, MO 64116
* By submitting this online registration I give permission for the above named youth to participate in the baseball activity as indicated on this form. I understand that participation in baseball may result in series injury, and the protective equipment does not prevent all injuries to players. By submission of this registration I hereby waive, release absolve, indemnify and agree to hold harmless Willie Wilson Baseball, LLC, their employees, sponsors, organizations and volunteers for any claim arising out of injury as a result of registrants participation. Further I give permission for photos of my child's participation to be used in connection with publicity articles.
* Registration is non-refundable.
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Willie Wilson Baseball 2007
Charitable Registration Number: 03-0556001