| Registration Form Camp(s) to Attend :________________________________________ Date(s): __________________________________________________ Camper's Name: _______________Parents Name: _______________ Age: _____ Birthday:___________ Phone Number:_______________ Address:____________________ Second Number:_______________ City: __________State: ____Zip:______ E-Mail:___________________ Method of Payment Check:______Cash: Please pay at Hitters Row Baseball Academy Credit Card: __Visa, Master Card, Discover, & American Express 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 |