Spring Break 2017 Baseball Camp With Governor Livingston Baseball Asst. Coach Coach: Terry Hanratty Who: 6-9 Year Olds When: Monday April 10-Friday April 14 Time: 9:30 am till 11:30 am Where: D Bat in Mountainside Cost: $250 for the week (No refunds after April 1 ) **Make check out to Terrence Hanratty ** Mail Check to 356 Short Drive, Mountainside, NJ 07092 For Additional Information Contact: Terry Hanratty: 908-896-6175
[email protected] What you need to bring: Bat, Gloves & Helmet Name of Camper :
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Address:
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City:
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Zip Code:
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Participant’s Age/Grade:
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Parent/ Guardians Name:
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Emergency Contact Number 1:
Contact’s Name:
Emergency Contact Number 2:
Contact’s Name:
Email Address (print clearly):
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I give Terrence Hanratty permission to help my child in the event of an emergency or if they are to become injured: Parent/Guardian Signature:
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Parent/Guardian Printed Name:
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*Please send this form in with the check*