www.baseballworld-nashua.com 1 Pine Street, Nashua, NH 603-566-4042 Choose from the following sessions: Session 1: June 16th, 17th, and 18th 3:00-5:00 PM Session 2: June 23rd, 24th, and 25th 3:00-5:00 PM $80.00 per session ($5.00 of which will be donated to the player’s league) Baseball World www.baseballworld-nashua.com Nashua, NH 03060 (603) 566-4042 jcrope1@yahoo.com Baseball World Pitching Clinic Director: Former Major League Pitcher John C. Roper Baseball World Registration Form Session 1: June 16th, 17th, and 18th 3:00-5:00 PM _____ Session 2: June 23rd, 24th, and 25th 3:00-5:00 PM _____ Last Name ______________ First Name _____________MI __ Circle one: M/ F Birth Date ___/___/___ Age __ Grade ____ Street Address _______________________________________ City/Town & Zip ______________________Phone__________ Number of prior seasons played _____ Last team played for _____________ Last season played _____ Father _________________Phone___________ Cell _________ Email _________________________________ Mother ________________Phone___________ Cell _________ Email ________________________ List any medical problem or prohibition player has: ___________________________________________ Person to notify in emergency (other than parents) Name _____________________Phone ___________ Player’s Doctor _____________Phone ___________ $80.00 per session ($5.00 of which will be donated to the player’s league) Baseball World Registration Form Session 1: June 16th, 17th, and 18th 3:00-5:00 PM _____ Session 2: June 23rd, 24th, and 25th 3:00-5:00 PM _____ Last Name ______________ First Name _____________MI __ Circle one: M/ F Birth Date ___/___/___ Age __ Grade ____ Street Address _______________________________________ City/Town & Zip ______________________Phone__________
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