January 25-March 15, 2013

@Memorial Gym
Jan. 25
Feb. 8, 22
March 8

@Sports Hub Leominster

Feb. 1, 15
March 1 ,15
Age 13 18

Early session 4:00 PM 5:30PM

Late session 5:30 PM 7:00PM
Directors:
Joe Cataldo (978) 340-4064
Mike Pelland (978) 855-5616
Joey Cataldo, Tara Cataldo

Northeast Softball 2014 Winter Instructional Camp

Clinic Fee: $125.00 Check Payable to Northeast Instructional Softball

Mail to: Northeast Instructional Softball Camp
42 Jane Avenue
Fitchburg, MA 01420

Shirt Size-(Adult) S

Name: ____________________________________________ Age: ____________

Address: __________________________________________ Phone#:
______________________________
E Mail:____________________________________________________
School: _______________________________
Position(s): ___________________________________

Medical Insurance Policy Number:

_____________________________________________________________________________________

Insurance Company:

I hereby request that _____________________________ be enrolled in the Northeast Instructional

Softball Camp. I acknowledge that neither the N.E.S.C. nor its facilities, nor anyone associated
with the clinic are liable or assume responsibility for any injuries incurred as a result of
participation in the camp. I hereby authorize the staff of the N.E.S.C. to act on my behalf in case
of a medical emergency. My daughter is physically fit to participate in all camp activities.
Insurance: Athletes must provide their own insurance. No clinic application is complete
without the information below:

XL

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Northeast Softball
2014 Winter Camp