ELITE FASTPITCH INC.

 

12 Mallard Drive                                             Office- 609-268-9754

Tabernacle, NJ 08088                                   

                                               E-mail- elitefp@aol.com

General Registration Form

 

Course or service________________________________________________________

 

Location______________________ Time_____________   Level (If any)_____________

 

Name (first)______________________ (Last)__________________________________

 

Street_________________________________________________________________

 

Town ______________________________________ State ________ Zip ___________

 

Parent Personal e-mail address ____________________________________________

   As soon as you send this in please register your e-mail sending an e-mail to elitefp@aol.com

 

Parent Work e-mail address _______________________________________________

 

HS Year of  HS Graduation (must)_________ School____________________________

 

Home phone_(_____)_________________Work phone_(____)____________________

 

Age__________ DOB__________________ Prim. Pos________ Alt. Pos_________

 

NO STUDENT WILL BE PERMITTED TO PARTICIPATE WITHOUT A SIGNED ELITE FASTPITCH INC RELEASE FORM. THERE WILL BE NO EXCEPTION.  PRINT THIS FORM FROM OUR WEB SITE.

 

Medical Insurance Co. __________________________________

Policy #______________________________________________

 

Payment Information

1. We anticipate a space problem at most locations throughout the school year, to help us schedule, send a $30.00 deposit check to hold space immediately.

2. The balance is due at the first class. If late, add $5.00 per week late.

3. You are purchasing instruction as scheduled by Elite Fastpitch. It is understood that it is your responsibility to attend. Make up classes are not guaranteed but are possible if approved prior to class.

4. All students (W1, W2, W3 & C1) are required to purchase (one time only) the DVD of their level. Cost of DVD is $25.00 each. Other levels are optional.

Highest Quality/Lowest Prices/Most Effective