Bill Steckis 12th Annual
Free Baseball Clinic for kids
Please Print
Name____________________________________
Age_____________________________________
Address__________________________________
City/State/Zip_____________________________
Email (necessary for confirmation
email)
________________________________________
Home phone
______________________________
Top Position (must circle one)
Catcher Pitcher
Infield Outfield
Contact person and phone number on
April 26, 2009
________________________________________
________________________________________
Bill Steckis
and Creighton University
cannot be responsible for injury. Bill Steckis
and Creighton University is authorized to obtain any medical care or treatment deemed
necessary.
______________________________________________
Parent/Guardian Signature
(required) Date
Complete above
, TEAR OFF, and mail to:
Bill Steckis Free Baseball
Clinic
5457 S. 49th Ave
Omaha, NE 68117