Register By Mail or Fax
If you would like to register for one of the clinics and pay using credit card, check, money order, or school purchase order (*), please complete the registration
information, print this form, and mail or fax it to us with your payment. *If using a school purchase order, we must receive a copy of the official
purchase order with your registration. If you would like to register online you may do so securely here using a credit card only.

Refund Policy
If you are unable to attend the clinic, you may request a refund of your registration fee (less $20) by submitting a written request
postmarked 10 days prior to the clinic date. After that date, no refunds will be issued. All substitutions must be approved by NSC prior to the clinic.

Form of payment
All registration fees are payable in U.S. currency only.


Name:   School or Organization:

Address:   City:   State (province):   Zip:   

Country:    DAY Telephone:     Fax:

REGISTER FOR:

    National Coaches Pitching Clinic –November 10-11, 2006, [PRE-REGISTRATION Deadline: Nov. 8, 2006 5 p.m. CST]
CLINIC FEES :

    $95/person pre-registration
    $75/full-time student (ages 14-22)
            $105/person at-the-door

    If paying by check, money order or school purchase order, make payable to:

    National Sports Clinics
    P.O. Box 369
    Basehor, KS 66007
    913-724-8700
    913-724-8756 (fax)

PAYMENT METHOD

    All payments must be made in U.S. Funds. For your convenience,we accept MasterCard, Visa, and Discover.
    If paying by credit card, please fill out the information below:

    Cardholder's Name:

    Card Type:

    Card Number:

    Expiration Date:

By completing and submitting this form, you have indicated that you have read and understand our Refund Policy.
Please note that video taping is not allowed at the National Softball Coaches Clinics. Thank you!