| OPLL / BASEBALL
ACADEMY OF WNY WINTER PROGRAM REGISTRATION FORM |
|
| PLAYER NAME |
DATE |
| CITY |
STATE/ZIP |
| PHONE |
PLAYER DOB |
| EMAIL |
|
| PAYMENT METHOD
ll cash
ll check |
AMOUNT ENCLOSED |
PLEASE CHECK PROGRAM OPTION AND TIME
| √ |
Program Sessions |
Time |
Dates |
Cost |
Player Age |
| 4-Week Option A |
9:00am - 10:30am |
02/06, 02/27, 03/06, 03/13 |
$55 |
||
| 4-Week Option A |
10:30am - 12:00pm |
02/06, 02/27, 03/06, 03/13 | $55 |
||
| 4-Week Option B |
9:00am - 10:30am |
03/20, 03/27, 04/03, 04/10 | $55 |
||
| 4-Week Option B |
10:30am - 12:00pm |
03/20, 03/27, 04/03, 04/10 | $55 |
||
| 8-Week |
9:00am - 10:30am |
02/06, 02/27, 03/06, 03/13,
03/20, 03/27, 04/03, 04/10 |
$105 |
||
| 8-Week |
10:30am - 12:00pm |
02/06, 02/27, 03/06, 03/13,
03/20, 03/27, 04/03, 04/10 |
$105 |
||
| Pre-Register before |
February 1st and Receive a Winter Program T-Shirt |
shirt
size: |