To register for any of the programs listed , please fill out this form, print it and mail to the appropriate addresses for each program. Contact information is listed under each program. For multiple registrations, please make copies of this form. Registrations should include full payment. Registration deadline is one week prior to programs. Make sure you chose the correct program from the drop down menu.
 

Name of Player: Age:

Parent's Name:
Address:
Town: State: Zip:
E-mail:
Phone: Evening:
Amount Enclosed:
Special Concerns:
Name of program registering for:
Session Time:
Chris Corkum's Baseball, Inc. • 37 Miller Road,Broad Brook, CT 06016
(860) 623-1027