Welcome to Steve Braun Baseball

SUMMER CAMP - Registration Form

Camper’s Name: ________________________________________________________

Shirt Size: S

XL
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:

Eyeglasses

Contacts

(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):

Outfield

1st. Base

2nd. Base

3rd. Base

Shortstop

Pitching

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 camp. Make check payable to Steve Braun Baseball. An immunization schedule must be submitted with registration.

*Baseball Camp Schedule*
	DATE	TYPE	AGE	LOCATION

	07/12 - 07/16	1/2 Day	6 - 13	Hopewell*
	07/19 - 07/23	1/2 Day	6 - 13	Ewing/Lawrence**
	07/26 - 07/30	1/2 Day	6 - 13	East Windsor***
	08/02 - 08/06	1/2 Day	6 - 13	Hopewell*

* held at Municipal fields.

** held at Moody Park fields.

*** held at HEWYBL ball 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.