____ Baseball Academy Classes____

January  7, 14, 21, 28
Time: 6:00pm - 7:00pm
Ages: (5-12)
Time: $95                         (Mondays)
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January
 8, 15, 22, 29
Time: 4
:00pm - 5:00pm
Ages: (5-12)            
cost: $95                         (Tuesdays)
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January
 8, 15, 22, 29
Time: 6
:00pm - 7:00pm
Ages: (5-12)            
cost: $95                         (Tuesdays)

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January
 10, 17, 24, 31
Time:
4:00pm - 5:00pm
Ages: (5-12)            
cost: $95                         (Thursdays)
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January
 10, 17, 24, 31
Time:
6:00pm - 7:00pm
Ages: (5-12)            
cost: $95                         (Thursdays)
_______________________________
__Baseball Academy Registration Form__

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

Choose a Class:  1   2  3  4  5
Time:_______

_   Method of Payment______________

Check:______

Credit Card:__Visa, MC, DISCOVER, & AMEX
Card Number: _______________________
Expiration Date: ______________________
Billing Zip Code: ______________________
Name on Card: _______________________
Amount Authorize to charge: ____________
Signature: ___________________________
Date: _______________________________

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