Step 1: Please fill out the Registration Form below.
All fields are required.
In Case of Emergency, Contact
Parent / Guardian Information
Please Check the Sessions you would like to Register for:
1 - Sun 1/20/19 $102 - Sun 1/27/19 $103 - Sat 2/2/19 $104 - Sun 2/10/19 $105 - Sat 2/23/19 $10
My child has been examined by a physician and has my consent to participate in this clinic. I hereby release the clinic director(s), volunteers, Brewster Regional Little League, and Nauset Regional High School from any and all liability for any injuries incurred to the participant, myself or my invitees.
Parent / Guardian Signature: