Cotuit Kettleers Advanced Baseball Clinics 2006 - Enrollment Form
For boys and girls ages 13-18
Please print the form, complete ALL sections, and mail with payment of $125.00 made payable to the Cotuit Athletic Association to:
Kettleers Baseball Clinics, P.O. Box 443, Cotuit, MA 02635

If you would like to pay for your child's clinic fees online, via Pay Pal, please click on the appropriate links below

 

To Make Early Payment for Advanced Clinic (Before June 1, 2006), Please click the "Add to Cart" Button Below

 

To Make Regular Payment for Advanced Clinic (After June 1, 2006), Please click the "Add to Cart" Button Below
PLEASE PRINT CLEARLY

Child's First Name:________________________Last Name:____________________________

Child's DOB:_________ (must be age 13 by 6/1/06 and no older than 18 as of 7/1/06)

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____________________Emergency Telephone (during clinic hours):___________

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

_________________________________________________________________________________  

2006 Advanced Clinic Sessions located at Elizabeth Lowell Park

Lowell Avenue, Cotuit, MA
Monday through Friday, 9:00 - Noon

July 17-July 22
Check here ______

Please enclose a non-refundable check for $125 per child for each session requested - $120 if payment is received by June 1st.  APPLICATIONS WILL NOT BE ACCEPTED AT THE CLINIC SITES.  Checks should be made payable to: COTUIT ATHLETIC ASSOCIATION.  Please indicate a second choice in the event your first choice is not available.  A waiting list will be maintained when sessions are full.  Spaces will be allocated on a first come, first served basis as they become available.  Payments will be returned to waiting list applicants who are not placed in a session.  We make every effort to accommodate all interested children. 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 submitted are non-refundable.

Parent/Guardian Signature: ______________________________________________________________Date:________________

Medical carrier and policy #: ____________________________________________________________________

Questions regarding policies and procedures may be directed to Joanne Crossen (508) 428-8796, clinics@kettleers.org