Youth Baseball Camp Registration Form

Youth Baseball Camp Registration
Athlete Information

PLEASE FILL OUT ONE FORM PER CHILD
Athlete's Name

First NameLast Name
Birth Date

MonthDayYear
Gender
Shirt Size
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent/Guardian Information
Name

First NameLast Name
Home Number
Format: (000) 000-0000.
Cell Number
Format: (000) 000-0000.
E-mail
example@example.com
Emergency Information
Emergency Contact's Name

First NameLast Name
Relationship
Phone Number
Format: (000) 000-0000.
Alt. Phone Number
Format: (000) 000-0000.
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.

7-12 Year Old Registration

$150.00

Subtotal

Tax

Total

Youth Baseball Camp Registration