Registration Form Name_____________________________________ FirstLast Address___________________________________ Email_____________________________________ City________________ State _________________ Zip_______________________________________ Parent or Guardian__________________________ Phone: Home (_______ ) _____________________ Grade_____________________________________ School____________________________________ Coach/Director_____________________________ PAYMENT: (Check, Cash) Enclosed is $_________ as full payment. Waiver for Participant’s Release: The Undersigned parent or guardian releases the City of Greeley, Friends of Baseball, Top of the Nation Baseball Clinic, Sponsors, Coaches and Employees of the camp from all responsibility, either legal, or equitable, for any accident or injury which may occur to the above named child while attending the above described activity. I authorize all necessary medical treatment during my absence. Parent /Guardian Signature_______________________________ Mail to: Top of the Nation Baseball Clinic 3602 Sienna Avenue Evans, CO 80620 Registration Information Check-in for clinic will run from 12:00p.m. 1:00p.m. The clinic will be held at Island Grove Event Center in Greeley, CO. Walk-in Registration will be allowed before the clinic The Top of the Nation Baseball clinics are structured as day only clinics. Clinic Fees $30.00 Early Bird for the first 100 before January 8th courtesy of Friends of Baseball. $60.00 before Jan. 30th Ages 5-18 $65.00 after Jan. 30th Ages 5-18 Breakfast of Champions will be hosting Hall of Famer Gaylord Perry as guest speaker. The Breakfast of Champions begins at 8:00am in the Island Grove Event Center. Cost for Breakfast of Champions and Clinic is separate. Send registration and check or money order to: Top of the Nation Baseball Clinic Identify participants name on the check. 3602 Sienna Avenue Evans, CO 80620 Be sure to register early to ensure your place in the clinic. Sat. Jan. 31st, 2015 1:00p.m. - 5:00p.m. Ages 5-18 Island Grove Event Facility Featuring Clint Barmes #12 Former Colorado Rockies 2nd Baseman & Now Shortstop for the San Diego Padres Cancellation Policy Any time after January 30th, 2015 refunds or pro-rated refunds will be made for medical reasons only. Requests for refunds must be accompanied by a signed excuse from your physician. Eligibility and Insurance All players ages 5-18 years old are eligible to participate. Everyone involved must be covered by his/her own family insurance policy. Hitting/Fielding/Pitching/Team Concept Other professionals and guest coaches will be instructing. Dear Baseball Participant It’s never too early to think about baseball and the upcoming season, and I would like to offer you a great opportunity to get a head start on the competition. Attending the Top of the Nation Baseball Clinic will give you the chance to learn and practice your baseball skills with current and former players, as well as the other guest coaching staff. The main goal of the clinic is to teach the players how to improve their individual skills. We will accomplish this by working with players in small groups to help them work on the fundamentals of the game. Our purpose is to stimulate learning and teamwork in an enjoyable day for both players and Clinic Activities • • • • • • Introduction Fielding Hitting Throwing Base running Autographs Steve Spurgeon Former Minor League Pitcher White Sox *Clint Barmes and instructors will be available for autographs at conclusion of camp. Please bring ball or bat to be signed. One item per camper. Clinic Staff Clint Barmes - San Diego Padres Shortstop Special guest coaches are on back of the brochure and others will be announced. coaches. I am committed to creating a positive atmosphere. Our staff cares about young people, and the clinic will provide opportunity to meet new challenges. I am confident this clinic will provide a special baseball experience. I look forward to seeing you on January 31st. Sincerely, Chance Dennison Manuel Corpas Former Colorado Rockies Pitcher Clinic Location Island Grove Event Center 421 N 15th Avenue Greeley, CO 80631. Equipment Needed The camper should bring the following items: bat, glove, hat, gym shoes, gym sweats, supporter, and sweatshirt. Please mark your personal equipment so you can identify it. Questions Chance Dennison may be reached at (303) 994-3381 or [email protected] Jason Hirsh Former Colorado Rockies & New York Yankees Pitcher Shawn Garrett Former Seattle Mariners Outfielder/Infielder Cory Sullivan Former Colorado Rockies TBA Patrick Perry Former Minor League Catcher Boston Red Sox Chad Leigh Baseball Clinician Others coaches TBA
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