ROB WALTON BASEBALL CAMP APPLICATION
| NAME: |
| ADDRESS: |
| CITY, ST, ZIP: |
| PARENT/GUARDIAN: |
SCHOOL ATTENDING: |
| AGE: |
DATE OF BIRTH: |
| GRADE: |
E-MAIL ADDRESS: |
| HOME PHONE: |
WORK PHONE: |
PLEASE MARK THE CAMP(S) YOU WILL ATTEND:
|
X |
Camp
|
Date
|
Tuition
|
|
|
All Skills
Christmas Camp
|
December 21st & 22nd |
$150 |
|
|
Pre-Season Hitting |
Mondays in January |
$250 |
|
|
Pre-Season Defense |
Wednesdays in
January |
$250 |
|
|
Pre-Season Practice
Program (Hitting &
Defense) (limit 50) |
Mondays & Wednesdays
in January |
$400 |
PARENT RELEASE:
I hereby authorize the staff of the Rob Walton Baseball Camp to act for me according to their best judgment in any emergency requiring medical attention, and I hereby waive and release the camp and the camp staff from any and all liabilities from any injuries or illnesses incurred to my child while attending the
Rob Walton baseball camp. I have no knowledge of any physical impairment that would be affected by my child's participation in the camp program as outlined in the brochure. I also understand the camp has the right to use for publicity and advertising purposes photographs of campers taken while attending camp.
Parent Or Legal Guardian Signature
X______________________________________ Date __________
Insurance Co. ___________________________ Policy# __________
|