__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
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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
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TM
ACADEMY
Baseball Academy Classes

January: 2, 9, 16, 23
Time: 6:00pm - 7:00pm
Cost: $95       
 (Mondays)
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January: 3, 10, 17, 24
Time: 6:00pm - 7:00pm
Cost: $95       
 (Tuesdays)
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January: 4, 11, 18, 25
Time: 5:00pm - 6:00pm
Cost: $95  
 (Wednesdays)
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January: 5, 12, 19, 26
Time: 7:00pm - 8:00pm
Cost: $95    
  (Thursdays)
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January: 6, 13, 20, 27
Time: 5:00pm - 6:00pm
Cost: $95          
 (Fridays)
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Softball Academy
January: 4, 11, 18, 25
Time: 5:00pm - 6:00pm
Cost: $95
  (Wednesdays)
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January: 5, 12, 19, 26

Time: 6:00pm - 7:00pm
Cost: $95    
  (Thursdays)  
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