Lightning Attendance and Health Check (London Lightning Fastball)

Please select the date of Activity^*

Required

Please select your team

Select type of activity^*

Practice
Exhibition Game
League Game
Tournament
PWSA Qualifier or Grands
Tryout
Meeting

Required

Location of Activity^*

Required

List of Participants^*

Required

Please list First Name, Last name for each attending player and Parent in attendance

Where there any issues noted?^*

YesNo

Required

If yes, Describe issues and resolution

Form Submitted by:^*

Required

Name and contact number

Please check the box below, to confirm you are aware that your signature above is considered binding.

Signature Acknowledgement^*