Middletown



Clinic Application

Registration Form

Name:__________________________

Address:________________________

_______________________________

Phone:__________________________

Age:_______

Current School:___________________

Youth T-Shirt Size: (circle one)

S M L XL XXL

Adult T-Shirt Size: (circle one)

S M L XL XXL

Check One:

___Session One: 10 A.M. – 12 noon

___Session Two: 1 P.M. – 3 P.M.

Make $30.00 check payable to:

MHS Booster Club - Baseball

Mail to:

Middletown High School

C/O Jason Serra

200 LaRosa Lane

Middletown, CT 06457

Clinic Instruction:

- Emphasis on throwing and catching effectively in baseball

- Defensive fielding approach

- Hitting and other offensive skills

- Base running skills

- Teamwork and Teambuilding skills

- And much more!!!

What to bring:

- Glove

- Hat

- Bat (if available)

*EACH CLINIC PARTICIPANT WILL RECEIVE A T-SHIRT & BOTTLED WATER

IF PRE-REGISTERED*

Middletown

Pre-Season

Baseball Clinic

[pic]

Saturday, March 9, 2013

Middletown High School Gymnasium

Boys Ages: 7-13

Session One: 10 A.M. – 12 noon

Session Two: 1 P.M. – 3 P.M.

(Choose one session)

Meet the Staff

[pic]

Jason Serra

Dan Baccaro

[pic]

Joe Barone

[pic]

Brian Hunter

[pic]

Josh Cofield

CONDITION OF ATTENDANCE:

In consideration of the Middletown High School baseball coaching staff allowing my child or myself to attend, I (we), individually and as legal guardian(s) (and/or) parent(s) of _______________________________, a minor, “my child” do hereby release, discharge, indemnify and hold harmless Middletown High School and the Middletown baseball coaching staff, and waive any and all claims or liabilities for, any injuries, losses or damages, including without limitation: injury to my child, myself and/or property arising out of or incident to my child’s participation and/or attendance at the Middletown Pre-Season Baseball Clinic, whether caused in part or in whole by the negligent act(s) or omission(s) of its directors, coaches or employees. I do hereby authorize the staff of the Middletown High School baseball program to act for me according to their best judgment in any medical emergency for my child or myself.

Date: ___________________

Parent/Guardian: _____________________

(signature)

-----------------------

*Middletown High School

Head Coach 2008 – present

*Middletown High School

Assistant Coach 2002 – 2006

*Vinal Technical High School

Assistant Coach 2000, 2001

*Middletown American Legion

Post 75 Assistant Coach 1999, 2000

*Springfield College Pitcher 1997, 1998

*Xavier High School Pitcher/Outfielder 1993 - 1996

*Middletown High School

Assistant Coach 2013 – present

*Western CT State University

Third baseman 2002-2005

*Berlin High School Third baseman 1999-2002

*Middletown High School

Assistant Coach 2008 - present

*Xavier High School

Assistant Coach 1990, 1991

*Southern CT State University

Pitcher/Outfielder 1988-1990

* Oklahoma Jr. College

Pitcher/Outfielder 1986-1987

* Xavier High School Pitcher/Outfielder 1981 - 1984

*Middletown High School

Pitching Coach 2008 – present

*Coginchaug High School

Pitching Coach 2002 – 2004

*Middletown American Legion

Post 75 Assistant Coach 2002

*Philadelphia Phillies

Pitcher 1981 - 1984

*Philadelphia Phillies 3-time All-Star in minor leagues, Team MVP 1982

*Miami Dade College Pitcher 1980

*Middletown American Legion Post 75 Pitcher 1978 – 1980

*State Tournament All-Star team, member of the state championship team, 1979

*Middletown High School Pitcher 1976 – 1980

*Northwest Conference All-Star 1978 – 1980

*Selected member of the CIAC All-State baseball team, 1980

*Woodrow Wilson Middle School

Head Coach 2009 – present

*Middletown High School Winter League Head Coach 2007 - 2009

*Middletown Junior American Legion Post 75 Head Coach

2007 – present

*Vinal Tech High School

Infielder 1998 - 2001

* Member of the Hartford Umpire’s Board 2002 - present

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