ROBBINSVILLE BASEBALL CAMP AWS
ROBBINSVILLE BASEBALL CAMP “LEARN THE SKILLS THE RIGHT WAY” 2016 CAMP REGISTRATION FORM JULY 25-29 GRADES 1-8 (AGES 5-14) 9:00 AM‐ 2:00 PM Registration: $180.00 DEADLINE: JUNE 10, 2016 LOCATION- TANTUM PARK ROBBINSVILLE BASEBALL COMPLEX Amount Enclosed: $____________________ Name: _____________________________________ M/F_________ Grade entering 2015‐16 school year_____ Address: _____________________________________ City: ____________________________ST:__________ Phone #:_____________________________________ Emergency #:_______________________________ Contacts: ____________________________________ T‐Shirt Sizing: (youth SM, MED, L, XL) _____SM_____M_____L____XL_____ Email: _______________________________________
Please Make Checks Payable to: (JOHN J. AUGUSTA) MAIL TO: 41 MONTAGUE AVE EWING, NJ 08628 I hereby certify that my son/daughter is in good physical health and may participate in camp activities. Liability Waiver: I hereby authorize the camp directors to act for me according to their best judgment in any emergency requiring medical attention. I hereby release and discharge the camp and camp staff from and against any and all liability or causes of action rising out of or in connection with participation in the camp. PARENT/GUARDIAN SIGNATURE: _____________________________________________
PLEASE LIST ANY MEDICAL CONDITIONS THE COACHING STAFF SHOULD BE AWARE OF:
Please Make Checks Payable to: (JOHN J. AUGUSTA) MAIL TO: 41 MONTAGUE AVE EWING, NJ 08628 I hereby certify that my son/daughter is in good physical health and may participate in camp activities. Liability Waiver: I hereby authorize the camp directors to act for me according to their best judgment in any emergency requiring medical attention. I hereby release and discharge the camp and camp staff from and against any and all liability or causes of action rising out of or in connection with participation in the camp. PARENT/GUARDIAN SIGNATURE: _____________________________________________
PLEASE LIST ANY MEDICAL CONDITIONS THE COACHING STAFF SHOULD BE AWARE OF:
