The 5th Annual Tim Balas Baseball Clinic Registration Form
For Ages 5-18
Sunday, June 2, 2019, 12:00pm - 4:00pm
**Participant Check in Opens at 11:30am**
Lopatcong Park, 9 Wildew Avenue, Phillipsburg, NJ 08865
Fee: $26.00
Fee + XXL Shirt: $28.00
**Complete the entire registration process by May 19, 2019 to ensure a t-shirt**
~After the deadline, you are not guaranteed a clinic t-shirt.

**If you are ordering an Adult XXL T-Shirt, please submit payment through the Paypal Link on our Website. There is an additional $2.00 fee. If you don't pay for the additional fee, YOU WILL NOT GET A T-SHIRT!!

Walk-ups on day of are NOT Guaranteed Participation in Clinic.

SUBMIT PAYMENT UPON COMPLETION OF THE REGISTRATION FROM TO FINALIZE YOUR REGISTRATION

Email address *
Participant's Name *
Your answer
Age *
as of June 2, 2019
Your answer
Parents Name *
Your answer
Home Address *
Your answer
Cell Phone *
Your answer
Email Address *
Your answer
Emergency Contact Name & Phone Number *
Your answer
T-shirt Size *
Registration Fee: $26.00; Registration Fee + XXL Shirt: $28.00
**Payment Must Be Received to Finalize Your Registration!!
Payment Method *
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