The 4th Annual Tim Balas Professional Baseball Clinic Registration Form
Who: Boys & Girls, Ages 5-18
When: Sunday, June 3, 2018, 12:00pm - 4:00pm
**Participant Check in Opens at 11:30am**
Where: Lopatcong Park, 9 Wildew Avenue, Phillipsburg, NJ 08865
Cost: $25.00

**Online Registration Closes on May 23, 2018**
Walk-ups on day of are NOT Guaranteed Participation in Clinic.


**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!!

Email address *
Participant's Name *
Your answer
Age *
as of June 3, 2018
Your answer
Gender *
Home Address *
Your answer
City *
Your answer
Home Phone Number *
Your answer
Relationship to Participant *
Parents Name *
Your answer
Email Address *
Your answer
Cell Phone *
Your answer
Emergency Contact Name & Phone Number *
Your answer
T-Shirt Size *
Registration Fee
**Payment Must Be Received By May 23, 2018 or Your Registration Will Be VOID

We ask that you submit payment upon completion of the registration form to finalize your registration. 
**PayPal is an immediate payment method and we can view your payment once it’s submitted.
​**If you are paying by check, please notify us when the check was sent, so that we may be on the lookout for it in the mail.
You will receive an e-mail confirmation stating that we have received payment and your registration for this event is complete.

Payment Method *
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