Register | Kelm Baseball Academy

Registration Form

Please fill out this form to register for a program.

An asterisk (*) indicates a required field.

First Name*

Last Name*

Date of Birth*

Primary Position*

Throws*

Left

Right

Skill Level

Program Type*

Preferred Session*

Preferred Date*

What would you like to improve most?*

Emergency Contact Phone*

Allergies or Medical Concerns

[Liability waiver text]

I have read and understand the following liability waiver.*

[Photo/media release statement text]

I have read and understand the following photo/media release statement.*