![]() |
||||||||||
|
SUMMER CAMP - Registration Form
Camper’s Name: ________________________________________________________ Birth Date:_________________ Parent/Guardian’s Name:________________________________________ Address:_____________________________________________________ City:_____________________________ Phone: ______________________ Email Address: ____________________________________________________________________________ How did you hear about program? • Indicate emergency contact information: 1) Name: __________________________________________ 2) Name: __________________________________________ • Medical Information: • Try to group my child with:___________________________(children must be entering same grade next fall) • Preferred Instruction Position(s): 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.
* held at Municipal 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: ______________________________________________
|
||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||