Softball BC/Canada Cup Learn to Play Softball Clinic
FRIDAY JULY 11 – 10:00am - 2:30pm

You can register for this clinic one of the following ways:

• By filling out the on-line form below.
• By fax: 604-536-1950 (By printing the on-line form, filling out and faxing)
• Cheques can be mailed to: Canada Cup, Suite #215 - 17637 1st Ave., Surrey, BC Canada V3S 9S1

LTP Clinic Site Map of Softball City (PDF)

Player's Name:
Address:
City:
Province/State: (required)
Postal Code/Zip Code:
Country:
Phone:
Fax:
E-Mail Address:(required)
Age:
Method of Payment:	Credit CardPhone MeMail Cheque
Name of credit card holder:
Type of Card:	VisaMasterCard
Card Number:
Expiry Date:
Currently registered in a Learn to Play Program?	Yes No
Gender:	Female Male
T-Shirt Size (Youth sizes):	X-Large Large Medium Small
Emergency Contact Name & Number:
Authorized by (Parent/Guardian Name):

* Clinic schedule is subject to change without notice.
Canada Cup, Softball BC, Learn To Play, Parmalat, The White Rock Renegades Softball Club,
or Softball City will not be responsible for loss or injuries to people or property.