Southside Baseball Camp Registration

Southside Baseball Camp Registration
The camp will be held June 19-22

Drop off at 8:45 a.m.

Pick up at 12 p.m.

What to bring: baseball clothing and equipment, hat, pants, cleats, catcher's gear, money for camp concessions, water, Gatorade, soda, candy, sunscreen.

Pay by Venmo:

@Southside-baseball7

or mail check to:

Coach Tommy Harrington
3165 St. Andrews Ch. Rd.
Sanford, NC 27332

or

Southern Lee High School
Attn: Tommy Harrington
2301 Tramway Rd.
Sanford, NC 27332

Make checks payable to Southside Baseball Camp

For questions, email tharrington.sl@lee.k12.nc.us or call/text 919.777.8394.
Athlete Information
Athlete's Name*

First NameLast Name
Birth Date*

MonthDayYear
Grade*
Age*
Shirt Size (Adult or Youth)*
MaleFemale
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Adults designated to pick up your child after camp:
First Name   Last Name
First Name   Last Name
First Name   Last Name
Parent/Guardian Information
Name*

First NameLast Name
Home Number*

Area CodePhone Number
Cell Number

Area CodePhone Number
E-mail
Emergency Information
Emergency Contact's Name*

First NameLast Name
Relationship
Phone Number*

Area CodePhone Number
Alt. Phone Number

Area CodePhone Number
Does the athlete have any allergies, chronic illness, or medical conditions? If yes, please describe.
Is the athlete prescribed an inhaler? If yes, please explain any instructions.
Confirmation

BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.
Should be Empty: