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Girls Fastpitch
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Sign-ups for 2002
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Schedule for 2002
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Lebanon County Girls Fastpitch League  

If you would like any more info, you can contact us at

Messiah Coaches Clinic Form

2002 Falcon Softball CochesClinic

(Please Print)

Name :   ___________________________________
Address :   ___________________________________
City :   ___________________________________
State :   ___________________________________
Zip Code :   ___________________________________
Phone :   ___________________________________
Work Phone :   ___________________________________
High School :   ___________________________________

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 Coach :   ___________________________________
Date :   ___________________________________
Please include any significant history :   ___________________________________

Cost is $50.00 if registered before 1/8/02 and $60.00 after 1/8/02

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