PROVIDENCE CATHOLIC BASEBALL 2017 SUMMER CAMP BASEBALL CAMP $125.00 JUNE 12-15, 2017 9:00 a.m.—2:00 p.m. Mon-Thurs. (Friday, June 16, 2017 rain date) All campers receive a T-shirt, Water Bottle & PCHS Athletic Pass
CUT & MAIL BOTTOM PORTION TO PROVIDENCE CATHOLIC H.S. : 1800 W. Lincoln Hwy. New Lenox, IL 60451 Make Check Payable to: Mark Smith
SEND CHECK MADE PAYABLE TO INSTRUCTOR: MARK SMITH
Shirt Size: Adult Size S M L XL circle one School___________________________
Home Address______________________________________________________ City Zip Parent/Guardian Name__________________________Cell/Home Phone____________________ Emergency Contact Name:_________________________________Phone____________________ EMAIL____________________________________________________________________________ Amount Enclosed:_________________Make Check payable to Mark
Smith
Parent Signature *________________________________________________________________ NOTE: All registration forms must have a parent/guardian signature. Providence Catholic H.S. reserves the right to photograph