Membership Application - USA Elite Training - Professional Girls Softball Training in Connecticut


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USA ELITE TRAINING, LLC. REGISTRATION

All registrants must fill out the following two forms before they will be allowed to participate.

Download the Word Document, fill it out, then return via email to jen@usaelitetraining.com or complete the online form and submit.
*All submittals must be typed.

Medical Release Form (Required)
Word Document
Online Form

Membership Application Form
Annual Family Membership Fee … $100

Players Names: Date of Birth: Age:	ex: Mary Smith - 01/01/1990 - 17
City:
State:
Zip:
Parents Name:
Phone:
Emergency Phone:
Email:
Players Position(s):
Insurance Company
Policy Number
Special Medical Information:
Credit Card Payment
I prefer to pay by check. Make Checks Payable To: USA Elite Training, LLC Mail Check to USA Elite Training Attn: Jen Hapanowicz. PO Box 1214 Madison, CT 06422
Credit Card:	VISA MasterCard AMEX
Number:
Expiration:	of
	I have submitted the Medical Form

45R Ozick Drive, Unit 16 | Durham, Connecticut, 06422| 860.349.1771 | Email | Site by Cybershore