Child's Full Name *

First Name

Last Name

Child's Date of Birth *

MM

DD

YYYY

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Parent/Guardian Name *

First Name

Last Name

Phone *

(###)

###

####

Emergency Contact Name (If different from Parent/Guardian)

First Name

Last Name

Emergency Contact Phone (If Different From Parent/Guardian)

(###)

###

####

Which clinic are you interested in? *

July 7 - July 11 | Monday - Fridays | 9 AM - 3 PM | James Lloyd Park, Stone Rd, Aurora, ON, L4G 6Z5

July 14 - July 18 | Monday - Fridays | 9 AM - 3 PM | James Lloyd Park, Stone Rd, Aurora, ON, L4G 6Z5

July 21 - July 25 | Monday - Fridays | 9 Am - 3 PM | James Lloyd Park, Stone Rd, Aurora, ON, L4G 6Z5

July 28 - Aug 1 | Monday - Fridays | 9 AM - 3 PM | James Lloyd Park, Stone Rd, Aurora, ON, L4G 6Z5

Aug 4 - Aug 8 | Monday - Fridays | 9 AM - 3 PM | James Lloyd Park, Stone Rd, Aurora, ON, L4G 6Z5

Aug 11 - Aug 15 | Monday - Fridays | 9 AM - 3 PM | James Lloyd Park, Stone Rd, Aurora, ON, L4G 6Z5

Extended Care (8:30 AM - 3:30 PM)

Are you interested in extended care for the week?

Yes - I will add $40/week to e-transfer

No

Consent & Waivers: *

‎ ‎ ‎ ‎ ‎ ‎ ‎CLICK HERE FOR LIABILITY WAIVER AND RELEASE FORM‎

I acknowledge that I have read, understand, and agree to the terms & conditions of this liability waiver and release form, and I hereby release, discharge, and hold harmless Pitch ‘N Hit Performance, its owners, instructors, staff, volunteers, and any affiliated organizations from any and all claims, liabilities, damages, or expenses arising out of or in connection with my child’s participation, including any claims based on negligence, to the fullest extent permitted by law.