Dustin Molleken Youth Baseball Camp Registration
Register your player for the June 29 & 30, 2026 camp at North Regina Little League Diamonds. $120 per player. 10:00 a.m. – 12:30 p.m.
Parent/Guardian Information
Parent Name
*
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Player Information
Player Name
*
Age
*
Birth Year
*
Emergency Contact
Contact Name
*
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Medical Information
Allergies
Medical Conditions
Anything coaches should know
Baseball Experience
Baseball Experience
*
Beginner
Recreational
Competitive
Liability Waiver
I understand that participation in baseball activities involves inherent risks. By registering my child, I acknowledge and accept these risks and release the camp organizers, coaches, and volunteers from liability for injuries arising from participation.
I agree
*
I agree
Payment
Registration is confirmed upon receipt of payment.
Please send e-transfer to:
Dustinmolleken@gmail.com
Please include your player’s name in the e-transfer notes.
Register
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