Welcome to Steve Braun Baseball

WINTER HITTING & PITCHING PROGRAMS - Registration Form

Player’s Name: ________________________________________________________

Shirt Size: S

XL
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:

Eyeglasses

Contacts

(Note: We do not administer medication.)

List medical problems, including allergies:____________________________________________________

• Try to group my child with:_____________________________________________________________

Hitting Program

Basic Program: Check your 1^st and 2^nd weekly choice time slot.
Program includes 8 weekly sessions. Program begins Saturday, Jan 5 and ends Saturday, Mar 15. Program offers flexibility – Any missed sessions can be made up in weeks 9 and 10. Cost of program is $265.00.

1^st

2^nd

TIME

TYPE

AGE

10:00 - 11:00 a.m.

Pee Wee

5 - 7

11:00 - 12:00 p.m.

Basic

8 - 12

12:00 - 1:00 p.m.

Basic

8 - 18

Advanced Program: Check your 1^st and 2^nd choice.
Program includes two 4 weekly sessions. Program begins Saturday, Jan 5 and ends Saturday, Mar 15. Program offers flexibility - Any missed sessions can be made up in weeks 9 and 10. Cost of 4 week program is $160.00. Cost of both 4 week sessions is $285.00.

1^st

2^nd

TIME

SESSIONS

AGE

1:00 - 2:00 p.m.

Session 1: 1/5; 1/12; 1/19 & 1/26

13 - 20

2:00 - 3:00 p.m.

1:00 - 2:00 p.m.

Session 2: 2/2; 2/9; 2/23; 3/1

13 - 20

2:00 - 3:00 p.m.

Pitching Program

Basic Program: Check your 1^st, 2^nd and 3^rd weekly choice time slot.

Program includes 8 weekly sessions. Program begins Saturday, Jan 5 and ends Saturday, Mar 15. Program offers flexibility – Any missed sessions can be made up in weeks 9 and 10. Cost of program is $265.00.

1^st

2^nd

3^rd

TIME

AGE

10:00 - 11:00 a.m.

9 - 12

11:00 - 12:00 p.m.

9 - 12

12:00 - 1:00 p.m.

9 - 12

Advanced Program: Check your 1^st and 2^nd weekly choice time slot.

1^st

2^nd

TIME

AGE

1:00 - 2:00 p.m.

13 - 20

2:00 - 3:00 p.m.

13 - 20

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 08648.