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Coach Pitch for 5 & 6 year olds
"
*
" indicates required fields
Coach Pitch
Coach pitch for 5 & 6 year olds with practices and games held in Clearwater. Each batter will get 5 pitches and if the ball isn't hit on a pitch, a tee will be brought out for them to hit off of. Teams will be coed with boys and girls on the same teams.
Coach Pitch
Child's Name
*
First
Last
Demographic - Players age on May 1, 2025
*
5 year old girl
5 year old boy
6 year old girl
6 year old boy
Shirt size
*
Youth small (6/8)
Youth medium (10/12)
Youth large (14/16)
I would like to volunteer as:
*
Head coach
Assistant coach
Do not want to coach
Parent/Guardian's Name
*
First
Last
Parent/Guardian's Phone (area code + phone number)
*
Parent/Guardian's Email
*
Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Emergency Contact other than Parent/Guardian
*
Emergency Contact Phone (area code + phone number)
*
Participation Waiver
*
I agree to the participation waiver.
We, or I, as parent and/or legal guardians of the participant named above, hereby give consent for my child to participate in this program and all other activities incidental thereto, including practice, actual participation, being a spectator thereto, and any incidental travel connected with the activity. I further agree to assume full responsibility in case of any accidental injury incurred while participating in this activity. By enrolling, I waive and release all rights and claims arising from this activity against the Clearwater Recreation Commission, the City of Clearwater, USD #264, its representatives, successors and coaches from injury, illness and accident resulting in participation in this program. In the event of an emergency where the parent/guardian is not present, I hereby release this participant for transportation and/or treatment of the injury to the nearest hospital.
Parent/Guardian Signature
*
Total
This includes online convenience fee.
Payment Method
PayPal Checkout
Credit Card
MasterCard
Visa
Supported Credit Cards: MasterCard, Visa
Card Number
Expiration Date
Security Code
Cardholder Name
Name
This field is for validation purposes and should be left unchanged.
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