Make your own free website on Tripod.com
Lebanon County softball image
Girls Fastpitch
League
LCGFP Banner
Navigation
Sign-ups for 2002
Rules/Changes for 2002
Players/Team Clinics
Pitching Clinics
Coaching Clinics
Become a Coach
Umpires Needed
Tournaments - All Ages
Team Sponsors
Team Costs for 2002
Team Insurance Info
Meeting Dates and Times
Minutes Posted
Links of Interest
Email Us
Home
Search the Site
Coaches and Teams
Officers and Umpires
Fields and Directions
Schedule for 2002
8 & Under
10 & Under
12 & Under
14 & Under
16 & Under
18 & Under
Lebanon County Girls Fastpitch League  

Form
If you would like any more info, you can contact us at   lcgfp@hotmail.com

Messiah One Day Clinic Form

2002 Falcon Softball One Day Softball Clinic



(Please Print)


Name :   ___________________________________
Address :   ___________________________________
City :   ___________________________________
State :   ___________________________________
Zip Code :   ___________________________________
Age :   ___________________________________
Grade :   ___________________________________
Name of Parent/Guardian :   ___________________________________
Phone :   ___________________________________
Work Phone :   ___________________________________
High School :   ___________________________________
Coach :   ___________________________________
Position(s) :   ___________________________________
Insurance Carrier of Athlete :   ___________________________________

The student named above has my permission to participate in the designated Messiah College one day clinic. I understand that clinic participation may involve significant physical activity which could result in injury. I certify that the child is in good physical condition and is fully able to participate. I assume all risk incident to the child's participation and release Messiah College, its employees, agents, officers, and volunteers from all liability, claims, expenses, and actions which may arise from injury or harm to the child as a result of clinic participation. In the event of a medical emergency, I authorize Messiah College to designate a physician or hospital or emergency personnel to provide medical care (including hospitalization, if necessary) to the child, and release Messiah College from any liability for injury or harm to the child which may result from this medical care. I understand that responsibility for payment for such medical care will be mine and certify that the child is covered by adequate medical insurance.

Signature of Parent/Guardian :   ___________________________________
Date :   ___________________________________
Please include any significant history :   ___________________________________
  ___________________________________
  ___________________________________
  ___________________________________
  ___________________________________
  ___________________________________

Please return with your deposit of $20.00 by February 1, 2002.

Send your deposit to:
Messiah College Softball
One College Ave
Grantham, PA 17027