Name: __________________________________________________________________

Address: ________________________________________________________________

Telephone: ______________________________________________________________

Email: __________________________________________________________________________

School: _________________________________________________________________

Travel Team: _____________________________________________________________

Player Info

Position: ___________________________            Grade:__________________________

Payment Info

Circle One:     Coaches’ Clinic             Session I -  3^rd-8^th Grade           Session II – High School           

                       6:30 p.m. - 8:30 p.m.       9:00 a.m. – 12:00 p.m.              1:00 p.m. – 4:00 p.m.        

                       Friday, October 30^th           Saturday, October 31^st                Saturday, October 31^st

Cost:                         $75                                     $90                                         $90             

*$10 walk-up registration fee on day of the clinics*

F Make checks payable to:

For Coaches’ Clinic:   Lady Lions Softball

 Attn: Alicia Smith

Mail to: P.O. Box 85 Yaphank, NY 11980

For Players’ Clinic:   Bay Shore Varsity Softball

Attn: Jim McGowan

Mail to: 155 Third Ave. Bay Shore, NY 11706