Parental Release & Consent
Form:
The undersigned parent or
guardian understands that the
applicant will be engaged in a
physical activity during the
program which contains an
inherent risk of physical injury and
the undersigned assumes the risk,
and releases the Cheshire Parks &
Recreation Department, Mrowka
Baseball Clinic and its directors
and staff from any and all liability
for personal injury arising out of
the applicant’s participation in the
Mrowka Summer Baseball Clinic.
2017
MROWKA
SUMMER
BASEBALL
CLINIC
In conjunction with the Cheshire
Parks and Recreation Department
I hereby grant permission for my
son or daughter to attend the
Mrowka Summer Baseball Clinic
and to be treated by a licensed
physician, athletic trainer, or clinic
staff member during the event of
an injury, illness, accident, or other
mishap.
______________________ _______
Parent/Guardian
Signature
Date
July 24-July 27
Rain date: July 28
“This clinic is for dedicated baseball
players who aspire to play baseball at
a higher level”
Young baseball players interested in
perfecting their skills should inquire
about this clinic. Each clinic session
will have a limited enrollment to ensure
continual instruction.
SESSIONS & FEES:
Time: 9:00am-12:00pm
Cost: $125
Note: Non-Cheshire residents add $10.00 and
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Lectures on Fundamentals
Drill Work
Batting Cage Work
Batting Practice
Scrimmage Games
RULES & REGULATIONS:
1. Players will be restricted to
designated areas and procedures.
2. Each player is encouraged to
bring his/her own bat and glove.
3. Clinic regulations must be
adhered to. Failure to follow the
rules will result in dismissal
without refund.
4. Bring Sun Screen and Hat.
Limited enrollment, Apply Early…Apply Now
discounts for siblings are not allowed.
Name_______________________________
AGES: 8-16 (max of 80 participants)
CLINIC INCLUDES:
MROWKA SUMMER
BASEBALL CLINIC
APPLICATION
Monday July 24 – Thursday July 27
(Rain date: Friday July 28th)
th
Address_____________________________
th
In case of rain, please call:
203-250-2470
CLINIC DIRECTOR:
Town___________State_____Zip_____
Home Phone_________Cell__________
School_________________Grade_____
DOB________________
Email____________________________
Bill Mrowka
Head Coach, Cheshire High School
He is a former three year starter at catcher for
Quinnipiac College. After college, he played
professionally in the Connecticut State League.
He has been the head coach baseball coach at
CHS for 18 seasons. Currently, Coach Mrowka
is teaching chemistry and physics at Wolcott
High School.
Shirt Size: YL AS
AM
AL AXL
I WILL ATTEND THE FOLLOWING:
_____ 43405A – 9:00am-12:00pm
Ages 8-16
Make Checks Payable to:
BILL MROWKA
RETURN COMPLETED
APPLICATION AND CHECK TO:
FACILITY:
Cheshire High School Athletic
Complex
FOR MORE INFO CALL
203-272-2743
Cheshire Parks & Recreation
559 South Main Street
Cheshire, CT 06410