____ Baseball Academy Classes____

February  1, 8, 15, 22
Time: 5:00 pm - 6:00 pm
Ages: (5-12)
Time: $95                        
 (Mondays)
------------------------------------------------------
February  1, 8, 15, 22
Time: 6:00 pm - 7:00 pm
Ages: (5-12)            
cost: $95                        
 (Mondays)
------------------------------------------------------
February  2, 9, 16, 23
Time: 4:00 pm - 5:00 pm
Ages: (5-12)            
cost: $95                         
(Tuesdays)
------------------------------------------------------
February  2, 9, 16, 23
Time: 6:00 pm - 7:00 pm
Ages: (5-12)            
cost: $95                        
 (Tuesdays)
------------------------------------------------------
February  4, 11, 18, 25
Time: 4:00 pm - 5:00 pm
Ages: (5-12)         
cost: $95                       
 (Thursdays)
_______________________________
February  4, 11, 18, 25
Time: 6:00 pm - 7:00 pm
Ages: (5-12)
cost: $95                       
 (Thursdays)
__Baseball Academy Registration Form__

Student's Name: _____________________
Parents Name: ______________________
Age: _____ Birthday:__________________
Phone Number:______________________
Second Number:_____________________
Address:___________________________
City: ____________State: ____Zip:______
E-Mail:_____________________________

Choose a Class:  1   2  3  4  5  6
Choose a Time:____________

_   Method of Payment______________

Check:___
Please mail check with form.
If paying with cash, please go to
Hitters Row  to make payment.

Credit Card:___  Circle type of card
Visa,  MC,  Discover,  AMEX
Card Number: _______________________
Expiration Date: ______________________
Billing Zip Code: ______________________
Name on Card: _______________________
Security Code: _______________________
Amount Authorize to charge: ____________
Signature: ___________________________
Date: _______________________________

Hitters Row Baseball Academy
1901-D 50th Street
LUBBOCK, TX  79412
(806) 749-8448
www.hittersrow.com
1

4

3

2

5

6