JR Ducks January Clinic 2023

JR DUCKS WINTER CLINIC

SATURDAYS - January 7th, 14th, 21st & 28th Location: Pro Game Athletics - 41 Saxon Ave Bay Shore, NY 11706 | TIME: 9:30AM-11AM - AGES: 5-7 | COST: $200.00 - DROP IN $55.00 PER SESSION.
Please fill out all information below - questions please email Kirsten@ducksbaseball.org
Camper Name*

First Name Last Name
Camper age at time of Camp*
Date of Birth *
Parent or Guardian Name*

First Name Last Name
Parent or Guardian Phone Number*

Area Code Phone Number
Email*
example@example.com
Secondary Email
example@example.com
Address*

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Emergency Contact *

First Name Last Name
Relationship to Camper *
Emergency Contact Phone Number*

Area Code Phone Number
Any Medical Information:
PARENTAL RELEASE FORM - My son/daughter is in good health and has my full permission to participate in a vigorous camp program. He/She has no previous sickness,illness, disease, or bodily injury that is contradictory to participation. I fully understand that physical injury may occur during the course of camp activities. In the event that I cannot be reached I give my permission for such medical procedures as may be deemed necessary by an examining physician. I also understand that Long Island Junior Ducks Camp is not responsible for the loss of any personal items and give my permission to use any individual videotape or photograph taken at camp in conjunction with publicity.
REFUND POLICY - Long Island Junior Ducks camp does not provide refunds if you cannot attend after registering, you can apply the registration fee to a future session. Refund not applicable due to set staffing & purchased merchandise.
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January Camp$200.00

Full Camp

Drop In Rate - January 7th $55.00

January 7th

Quantity

Drop In Rate - January 14th $55.00

January 14th

Quantity

Drop In Rate - January 21st $55.00

January 21st

Quantity

Drop In Rate - January 28th $55.00

January 28th

Quantity

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Subtotal $0.00Tax $0.00Total $0.00

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JR DUCKS WINTER CLINIC

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