Fill Out the Form Below & Send
with Payment to All Star Sports Academy:
(Return the All Star Sports
Academy Membership Form for Medical Information & Release Form & To Join)
Please Check the Boxes to Sign
Up for the following League(s) and/or Session(s):
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Hitting League |
Session 1 |
Member
League Fee
Per Member |
Non-Member League Fee
Per Member |
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Team |
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$50.00 |
$60.00 |
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Sign-Up Deadline |
January 30, 2004 |
Specify Payment Option
Below |
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All Star Sports Academy
57006 241st Street
Ames, IA 50010
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Indoor Hitting League
Sign-Up Form |
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Name |
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Address |
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City/ST/Zip |
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Phone |
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Age |
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School |
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Please List the Names of Other Team Members for the Indoor Hitting League
(Team = 3 Individuals): |
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Name |
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Name |
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Method of Payment |
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Check enclosed payable to All Star Sports Academy |
Circle Credit Card Type |
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Charge to Credit Card |
Mastercard or VISA |
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Credit Card Number |
Expiration Date |
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Signature Authorizing Credit Card Charge: |
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**Each Player Must Have
a Signed Release Before Using the Facility** |
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Complete the Medical Release Section of the
Membership Form even if not becoming a member. |
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