HITTING PROGRAM - Registration Form

Player’s Name: ________________________________________________________Shirt Size: SMLXL
Birth Date:_________________Grade:______________Age:_________Sex: M / F
Parent/Guardian’s Name:________________________________________
Address:_____________________________________________________
City:_____________________________St:_____ Zip:_____________
Phone: ______________________Work :_______________________ Cell:________________________
Email Address: ____________________________________________________________________________
 How did you hear about program?____Friend,____Email,____Flyer,____Ad Trenton Times,____Bucks Courier,____Trentonian

• Indicate emergency contact information:
1) Name: __________________________________________Phone:_______________________________
2) Name: __________________________________________Phone:_______________________________

• Medical Information:EyeglassesContacts(Note: We do not administer medication.)
List medical problems, including allergies:____________________________________________________

• Try to group my child with:_____________________________________________________________
Hitting Programs
Saturday: Basic/Intermediate Hitting Clinics:
Program includes 8 weekly sessions. Program begins Saturday, Jan. 7th and ends Saturday, Feb. 25th.
Program offers flexibility – Any missed sessions can be made up in weeks 9 and 10. Cost of program is $275.00.
Check age slot TIME TYPE AGE
9:00 - 10:00 a.m. Basic
6 - 8
10:00 - 11:00 a.m. Intermediate
9 - 10
11:00 - 12:00 p.m. Intermediate/Advanced 11 - 13

Saturday: Advanced Program: Check your 1st and 2nd  choice.
Program includes two 4 weekly sessions.  Program begins Saturday, Jan. 7th and ends Saturday, Feb. 25th.
Program offers flexibility - Any missed sessions can be made up in weeks 9 and 10.
Cost of 4 week program is $170.00.  Cost of both 4 week sessions is $295.00.
1st 2nd TIME AGE
12:00 - 1:00 p.m. 13 - UP
1:00 - 2:00 p.m.
12:00 - 1:00 p.m. 13 - UP
1:00 - 2:00 p.m.

Available Discounts:
- Family discount: Deduct 10% (2 or more children attending)
 - Multiple program discount: Deduct 10% (player attending more than one program)
- Team discount: Call (609) 882-4873 for information.


I, the registrant/parent/guardian, by applying to participate in Steve Braun’s summer camp or winter programs
do hereby forever waive, release, absolve, indemnify, and agree to hold harmless Steve Braun Enterprises, Inc.,
the organizers and/or staff.

• Parent / Guardian Signature: ______________________________________________
To register print and complete this form and mail it along with check payable to:
Steve Braun Enterprises, P.O. Box 5173, Lawrenceville, NJ 08638.