WestCoast Softball Academy - Coaching and Instruction for Fastpitch and Softball

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Gold Program Registration 2010 / 2011

**All post dated cheques must be received by August 15th, 2010 or spots being held will be given up to athletes on the waiting list **

Athlete's Name

Birthdate:

Parent/Guardian's Name:

Your mailing address:

Your Telephone Number:

Your E-mail Address:

Primary Position

Secondary Position

Throws:

Bats:

Club Team :

Coach :

What are your softball goals?

What are your academic goals?

Why do you want to be a part of the GOLD program at Westcoast?

T-shirt size:

Short size:

Interested in Travel Ball?

Yes No

Any medical conditions that Westcoast should be aware of?

Comments:

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