VSC Baseball & Softball Fielding Clinic Registration Form
Please fill out your details to register for the clinic on 9/12/26.
Participant's Full Name
*
First Name
Last Name
Participant's Date of Birth
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Sport
*
Baseball
Softball
Soccer
Football
Track
Other
Parent or Guardian Name
*
First Name
Last Name
Parent or Guardian Email
*
example@example.com
Parent or Guardian Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Does your child have any food allergies?
Shirt Size
Please Select
Youth XS
Youth SM
Youth M
Youth L
Youth XL
Adult SM
Adult M
Adult L
Adult XL
Player Experience Level
Beginner
Intermediate
Advanced
Clinic Registration (Select one)
*
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next
( X )
NON MEMBER
Registration Fee (includes tax)
$104.03
$
104.03
Quantity
1
2
3
4
5
6
7
8
9
10
MEMBER
Registration Fee (includes tax)
$93.08
$
93.08
Quantity
1
2
3
4
5
6
7
8
9
10
Debit or Credit Card
Credit Card Number
Security Code
Expiration Month
January
February
March
April
May
June
July
August
September
October
November
December
Expiration Month
Expiration Year
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
2043
2044
2045
Expiration Year
Register
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