Alexandria Girls Fast Pitch Softball Players…
Winter Softball Clinics
The sessions will be set up into skill development stations to cover catching, fielding, base
running, hitting and pitching. The clinic will be lead by Mac Slover, Director of Sports and
coaches from the TC Williams Softball team and other coaches in the area.
Have fun and improve your softball skills.
George Washington Middle School Gymnasium
1005 Mt. Vernon Avenue, Alexandria, Virginia 22302
Sundays, January 19, 26, February 9 & 16, 2014
Pitchers (Ages 9 & up only ) — 12:30—1:15 pm
Must register and provide own catcher (parent or teammate) for pitching clinics
Limited Space
Clinic Sessions
1:30 —3 pm — (Ages 6—11)
3—4:30 pm — (Ages 12—16)
$40/Player
Must bring your glove, tennis shoes and bat (if you have one)!
Sponsored by
Alexandria Department of Recreation, Parks and Cultural Activities— Sports Section
For more information, call the Sports Office at 703.746.5402 or
e-mail Mac Slover at [email protected]
GIRL’S FASTPITCH SOFTBALL CLINICS
AGES 6 – 16 YEARS OLD (Age as of January 1, 2014)
REGISTRATION FORM - (City of Alexandria Residents Only)
George Washington Middle School
Sundays, January 19, 26, 9 & 16, 2014
Check Appropriate Box (s)
 12:30—1:15 pm Pitchers (Ages 9 & up only )
Must register and provide own catcher (parent or teammate) for pitching clinics
Clinic Sessions
 1:30 —3 pm — (Ages 6—11)
 3—4:30 pm — (Ages 12—16)
$40 per each participant
Online Registration is available at www.alexandriava.gov or mail a check/money order
made out to the “City of Alexandria” Activity Number 510206-14
Mail to: ADRPCA/Sports Section, 1108 Jefferson Street, Alexandria, Virginia 22314
MEDICAL INSURANCE
THE CITY OF ALEXANDRIA DOES NOT PROVIDE MEDICAL INSURANCE FOR PROGRAM PARTICIPANTS. IN THE EVENT OF ILLNESS OR INJURY REQUIRING MEDICAL TREATMENT, HOSPITALIZATION, AND/OR SURGERY, THE FAMILY MEDICAL INSURANCE MUST BE USED.
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PARTICIPANT'S NAME______________________________________________________________________________________
DOB__________________________ AGE _________________________ GRADE________________________________________
ADDRESS____________________________________________________ CITY__________________________ STATE________
ZIP CODE_______________ HOME #______________________________ CELL #______________________________________
SCHOOL____________________________________________________________________________________________________
E-MAIL____________________________________________________________________________________________
WAIVER FORM
IN CONSIDERATION OF THE CITY OF ALEXANDRIA DEPARTMENT OF RECREATION, PARKS AND CULTURAL ACTIVITIES, CONDUCTING VARIOUS PROGRAMS AND ALLOWING ___________________________________ TO PARTICIPATE IN THE FIELD HOCKEY CLINICS, THE
UNDERSIGNED, REALIZING THE RISK OF INJURY ATTENDANT TO SUCH PROGRAMS DOES HEREBY RELEASE AND FOREVER DISCHARGE THE CITY OF ALEXANDRIA, THE DEPARTMENT OF RECREATION AND, PARKS AND CULTURAL ACTIVITIES AND EPISCOPAL HIGH SCHOOL AND ITS OFFICERS, AGENTS, AND EMPLOYEES FROM ANY AND ALL ACTIONS, CAUSES OF ACTION, CLAIMS OR
LIABILITY RESULTING FROM OR ARISING OUT OF OR BASED UPON ANY BODILY INJURY OR PROPERTY DAMAGE WHICH MAY BE
SUSTAINED BY THE UNDERSIGNED OR THE UNDERSIGNED'S CHILD WHILE PARTICIPATING IN THIS PROGRAM. PER THE CITY OF
ALEXANDRIA POLICIES, REGISTRATION INFORMATION OF EACH PARTICIPANT IS PROVIDED TO THE ALEXANDRIA DEPARTMENT
OF RECREATION, PARKS AND CULTURAL ACTIVITIES (ADRPCA) FOR RECREATION DEPARTMENT PROGRAMS ONLY.
___________________________________________________
SIGNATURE OF PARENT
__________________________________________________
(PRINT NAME)