2010 Cotuit Kettleers Softball - Enrollment Form

Monday thru Friday, 9:00 a.m. to 12:00 p.m.

Girls Ages 9-13

Marstons Mills Elementary School – Route 28, Marstons Mills, MA

July 12, 2009 – July 16, 2009

$90.00 for the Week

 

 

(please print the form, complete ALL sections, and mail with payment to:

Kettleers Softball Clinic c/o/ Bruce Murphy, 77 Spur Lane, Marstons Mills, MA 02648

 

PLEASE PRINT CLEARLY

Child's First Name:________________________Last Name:___________________________________

Child's DOB:___________________

Parent's/Guardian's First Name: ____________________Last:_______________________________

Parent's/Guardian's PERMANENT Mailing Address:________________________+_________________

City______________________State________Zip___________Telephone:_________________________

Parent's/Guardian's LOCAL Summer Address: ________________________________________________________________________________________

City/Town/Zip ____________________ Telephone (during clinic hours):________________________

Has your child attended before?_______If not, how did you hear about the program?

________________________________________________________________________________________________

E-Mail Address: _______________________________ Cell Phone: ____________________________

Emergency Phone #: __________________________________________

 

Please enclose a non-refundable payment for $90.00. Checks should be made payable to: COTUIT ATHLETIC ASSOCIATION APPLICATIONS WILL NOT BE ACCEPTED AT THE CLINIC SITE.Children should bring a glove, hat, water bottle and snack with them to camp each day. Confirmations of enrollment, as well as clinic policies and procedures, will be sent to all applicants. It is understood that the Town of Barnstable, its School Department, its Recreation Department, the Cotuit Athletic Association, or their agents, assume no liability for accidental injury. All fees are non-refundable.

 

 

Parent/Guardian Signature:

 

______________________________________________________________Date:________________

Questions regarding policies and procedures may be directed to:Bruce Murphy at (508) 428-3358 or gm@kettleers.org