Men's Basketball Women's Basketball Women's Volleyball Cheer/Dance Team
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NAME:______________________________________ ADDRESS:______________________________________ CITY:____________________ STATE:________ ZIP:_________ PHONE:_________________ AGE:_________ GRADE:(2007-2008)______________ SCHOOL:___________________ POSITION:_______________________ INSURANCE COMPANY:_____________________________ POLICY#:__________________________________________ CHECK THE CAMP(S) IN WHICH YOU PLAN TO ATTEND: Monday, June 2nd-----------------------Pitching Ages 6-13------------------------------- 8:00 am - 11:00 am_____ Tuesday, June 3rd------------------Infield/Outfield Ages 6-13------------------------------- 8:00 am - 11:00 am_____ Wednesday, June 4th----------------------Hitting Ages 6-13------------------------------- 8:00 am - 11:00 am_____ Thursday, June 5th-------------------------Hitting Ages 6-13------------------------------- 8:00 am - 11:00 am_____ MAIL THIS FORM AND PAYMENT TO: Each session is $30, unless a player attends all 4 sessions. Then the price is reduced to $25 per session or $100 total for all 4 sessions.
Attn: Baseball 100 College Avenue Sterling, CO 80751 Make Checks Payable to NJC BASEBALL. I certify that__________________ has my permission to participate in the Northeastern Junior College Baseball Camp. I further certify that the above recreational player has medical insurance in case of emergency. I authorize the directors of the NJC Baseball Camp to act for me according to their best judgment in any emergency requiring medical attention. I release and hold harmless Northeastern Junior College including without limitation, its officers, directors, trustees, employees, agents and affiliates for , from and against any and all liability, injury sustained, damage or loss of personal property arising directly or indirectly while enrolled in the NJC Baseball Camp. Signature of Parent/Guardian_________________________Date_______ |
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