SUMMER CAMP - Registration Form

Camper’s Name: ________________________________________________________Shirt Size: SMLXL
Birth Date:_________________Grade Next Fall:______________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:cEyeglassescContacts(Note: We do not administer medication.)
List medical problems:____________________________________________________________________

• Try to group my child with:___________________________(children must be entering same grade next fall)

• Preferred Instruction Position(s):c Outfieldc 1st. Basec 2nd. Basec 3rd. Base
c Shortstopc Pitchingc Catching

To register, print and complete this form. Below, check the appropriate camp you would like your child to attend. Mail this form along with a check in the amount of $195.00 for half day or $295.00 for full day camp. Make check payable to Steve Braun Baseball. If you will be participating in the Extra Innings Program for the full day camp, please include an additional $25.00. An immunization schedule must be submitted with registration.
Baseball Camp Schedule
a
DATE TYPE AGE LOCATION
c 06/23 - 06/27 1/2 Day
6 - 13
 Hopewell*
c 07/14 - 07/18 1/2 & Full Day
6 - 18
 Lawrenceville**
c
07/21 - 07/25 1/2 Day 6 - 13 Hopewell*
c 08/04 - 08/08 1/2 Day
6 - 13
 Hopewell*
* held at Municipal fields.** held at Eggers Crossing fields.

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 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.