Central Cougars Baseball Camp Application (Please Print)

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7740 Old U.S. 50, Breese, IL 62230 Phone: 618-651-1029 Dates: Times: Location: Grades: Camp Staff: Cost:

Monday, June 19th through Thursday, June 22nd (Rain/Shine) 5th-6th 9:00 a.m.-11a.m/7th-8th 11:30-1:30 Central Community High School Varsity and JV Diamonds (If needed). This camp is opened to anyone entering 5th, 6th, 7th, 8th grades Current and Past Players, Coaching Staff $40.00 Per Camper Checks Payable to Central Cougars Baseball Camp Line-Up Campers will be divided by grades. Instructors will concentrate on

1. 2. 3. 4.

Hitting+Base Running (Hitting Mechanics/Bunting) Fielding (Infield/Outfield) Defense Situations Catchers (Blocking/Framing/Throw Downs) We only have adult size catching gear. **** BRING GLOVE/HELMET/BAT/CATCHING GEAR EVERYDAY

Each Camper will receive a “Cougar Baseball Camp” T-shirt and drinks at the end of each day. …………………………………………………………………………………………………………………………………………………………....

Central Cougars Baseball Camp Application (Please Print) Name:____________________ Grade Entering Fall 2017: (Circle) 5th 6th Address:__________________

City:____________________

Phone # (Cell): ____________________

7th

8th

Birthdate:_________

Zip: __________

Phone# (Emergency): _________________________

Parent Name(s) _____________________________________________________ As the responsible party for the previously mentioned camper, I grant permission for him to attend the Central Cougars Baseball Camp. I understand that neither Central High School or the Central Cougars Baseball Camp provide insurance coverage for any accidental injury sustained by my son at a result of his participation in the activities of the camp. In the event of such an injury I will not hold Central High School or the Central Cougars Baseball Camp liable. Signed: ______________________________________________________

T-Shirt Size: (Circle ONE)

Youth:

M

L

ADULT: S

M

L

XL

Mail Application Form and Check (Made out to Central Cougars Baseball) to: Central Community High School #71 c/o Kevin Crask, 7740 Old US 50, Breese, IL 62230

Registrations received after June 10th is NOT guaranteed a Camp Tee.