SPRING BREAK PITCHING CLINICS 2026

Please fill out this form to register for our Spring Break Pitching Clinics with Coach Harley! Space is limited, secure your spot as soon as possible!

If you are registering for more than one student, please fill out a separate form for each athlete. Payment will be required upon completion of this form to secure your spot.

*THIS IS A GIRLS SOFTBALL CLINIC*

Date: Wednesday, April 8th
*Before registering, please make sure your athlete has off from school on this day*

Foundations Clinic Grades 2-5 | 9:00 AM - 11:00 AM

Velocity Clinic Grades 5-8 | 11:30AM - 1:30 PM

Cost: $70 per athlete

Location: Diamond Elite Academy | 6 Industrial Road, Unit 10, Pequannock NJ

*PLEASE NOTE: PAYMENT IS REQUIRED AT THE END OF THIS FORM TO SUBMIT REGISTRATION

**PLEASE DOUBLE CHECK YOUR EMAIL SPELLING OR YOU WILL NOT RECEIVE CONFIRMATION EMAIL**

Athlete's Full Name*

First NameLast Name

Parent/Guardian Full Name*

First NameLast Name

Email Address*

please double check your email spelling

Parent Cell Phone Number *

Please enter a valid phone number.Format: (000) 000-0000.

Athlete's Age*

years

Athlete's Grade*

years

Emergency Contact Full Name*

First NameLast Name

Relationship to Athlete*

E-Contact Cell Phone Number *

Please enter a valid phone number.Format: (000) 000-0000.

Please list any medical/health issues including allergies here:

GROUP SELECTION*

CANCELLATION POLICY
If a parent cancels before MARCH 31ST, they will receive a full refund (minus credit card fees). If a parent cancels after MARCH 31ST, they forfeit the entire clinic fee.

I AGREE

RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT ("AGREEMENT") DIAMOND ELITE ACADEMY
I request my child (identified on this form) be permitted to participate in the identified sport/athletic Diamond Elite Academy clinic activity and agree to the following: I understand and agree that my child’s participation in this activity may expose him/her to risks of serious personal injury. I will counsel my child so he/she understands that it is important for his/her safety and the safety of others, to follow all instructions of the Diamond Elite Academy coaches and staff.

I agree that I am responsible for my child’s conduct while he/she is at camp. In consideration for my child’s participation in this activity, on behalf of myself and my child, I release, discharge and hold harmless Diamond Elite Academy, its coaches, volunteers, employees, and owners from all liability, claims, costs, and expense, arising out of these activities which may result in injury or illness to my child. Diamond Elite Academy is not responsible for, and will not provide any medical, dental, hospital, or laboratory fees due to injury while participating in any clinics held by Diamond Elite Academy. I am the parent/legal guardian of the child.

I further agree that Diamond Elite Academy staff and owners are authorized to obtain and authorize emergency medical treatment for my child, up to and including emergency hospitalization and surgery. I agree to be personally responsible for any related medical expenses. On behalf of my child, and myself, I further release Diamond Elite Academy and any medical provider of emergency treatment to my child for any related liability.

I AGREE

MINOR FILMING & SOCIAL MEDIA CONTENT USE WAIVER
By checking this box, I, the parent listed on this form, hereby give consent for my child, minor listed on this form, to be filmed and photographed during their participation in activities organized by Diamond Elite Academy. I understand that these recordings may be used by Diamond Elite Academy for promotional purposes, including but not limited to social media posts and other marketing materials.

I grant Diamond Elite Academy permission to use, reproduce, distribute, and display any recordings or photographs of my child taken during their participation in Diamond Elite Academy activities, without compensation or approval rights, on Diamond Elite Academy's official social media channels and other promotional materials. I understand that this permission is granted for an indefinite period unless revoked in writing.

I understand that Diamond Elite Academy will take reasonable measures to protect my child's privacy and personal information in accordance with applicable laws and regulations.

I have read this waiver carefully, fully understand its contents, and by checking this box, I voluntarily agree to its terms.

I AGREEI DO NOT AGREE

My Products*

SPRING BREAK PITCHING CLINIC

$70.00

Enter coupon

Total

$0.00

Credit Card