Goshen College Softball

Pitching ClinicNovember 21, 2009

2009 Goshen College Softball Pitching Clinic Registration

Name _______________________ ___________________________

Address _________________________________________________

City ________________State ______________ ZIP code __________

Phone (_____) _________________

School _____________________________Grad Year_____________

Email ___________________________________________________

Acknowledgment of risk and assumption of personal responsibility: I understand that during my participation in Goshen College Softball Clinic, I will be exposed to above-normal risk. I understand, too, that although Goshen College and softball clinic personnel will take precautions to provide a safe environment, it is impossible to guarantee absolute safety. Also, I understand that I share responsibility for safety in the camp setting, and I assume that responsibility. I agree to verify with my physician that I have no physical or psychological problem that would prohibit participation in Goshen College Softball Clinic. I agree to comply with the instructions and directions of all camp directors and supervisors. I have read the above statement and understand the nature of the physical demands of this activity. I therefore release any and all rights or claims for damages against Goshen College and camp personnel.

Participant signature _________________________________ Date _______

Parent/guardian signature ______________________________ Date _______

Cost: $40 per player - Must bring own catcherClinic runs from 9 a.m.- 11 a.m.

Doors open at 8:30 a.m. for warmups

Make checks payable to:Goshen College Softball1700 South Main Street

Goshen, IN 46526www.GoLeafs.net

Number of Years Pitching ___________________________________