Youth Softball/Baseball Fielding Clinic Participant InformationParticipant's Name* First Last Birth Date* MM DD YYYY Participant's Phone # (Optional)Participant's Email (Optional)T-Shirt Size*Youth SYouth MYouth LYouth XLAdult SAdult MAdult LAdult XLAdult XXLParent/Guardian InformationParent/Guardian Name* First Last Email* Phone*Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificState ZIP Code Emergency Contact InformationEmergency Contact Name* First Last Emergency Contact Phone*Athlete Registration Price: $40.00 PaymentCredit Card* DiscoverMasterCardVisa Card Number Month010203040506070809101112Year20212022202320242025202620272028202920302031203220332034203520362037203820392040Expiration Date Security Code Cardholder Name