A1 Prospects/TRSA 2019
Spring Softball Clinic Registration

Trainers and coach of Ruthless Softball
at
The Grind
200 Freehold Rd
Freehold, NJ
Phone: 732-501-8267 eMail :A1P@A1Prospects.net
April 22 nd - April 25 th
10:00AM - 2:00 PM

First Name Last Name
Date of Birth
Address
City State Zip
Email Phone Number
Positions
Emergency Contact Cell Number

All 4 Days 4/22 - 4/25 $220.00
Monday 4/22 $60.00
Tuesday 4/23 $60.00
Wednesday4/24 $60.00
Thursday 4/25 $60.00

Total price is $

Make Checks Paybale to : TRSA
Mail To: 39 6th Ave, Port Reading, NJ 07064

All campers are also invited to Friday’s 3 hr training that will include
Hall Of Famer and 3 time Olympian medalist

Crystl Bustos
Attending Friday Session 3:00-6:00PM with Crystal Bustos

for a small additional fee of $20 .
Location: Wemrock Brook School
(3:00PM-6:00PM)


Waiver and Release Form
PARTICIPATION IN THE Alpha 1 Prospects (A1P) WILL INVOLVE RIGOROUS PHYSICAL ACTIVITY, WHICH MAY EVEN UNDER NORMAL CIRCUMSTANCES, RESULT IN INJURY. THE PARTICIPANT AGREES TO SAVE AND HOLD HARMLESS THE A1P AND THE OWNER OR LESSOR OF THE FIELD AND ANY AGENT OR REPRESENTATIVE OR EMPLOYEE OF SAME FROM ANY AND ALL LIABILITY FROM INJURIES SUSTAINED BY PARTICIPANT.


Your signature below acknowledges that you have carefully read this waiver and release and fully understand that it is a release of liability. You agree to voluntarily give up any right that you may otherwise have to bring legal action against the facility for negligence or any other personal injury or property damage or loss action.

Guardian/Parent's Name Signature
By Checking this box, you accept the terms of the A1P Waiver and Release Form.

Medical Waiver
I hereby authorize the staff of the Alpha 1 Prospects to act on my behalf to their best judgement in any emergency medical situation. I have listed any pre-existing medical conditions, allergies, or injuries below and provided the staff with the correct instructions for treatment.

Guardian/Parent's Name Electronic Signature
By Checking this box, you accept the terms of the A1P Medical Waiver, Waiver and Release Form.

By providing an email address above, you will automatically be put on the A1P eMail list, please unselect the box if you do not wish to receive emails