2018 Monroe Area Baseball
June Training Session
Ages: Rising 1st through 7th graders
Hosted by: Head Baseball Coach, Chad Kitchens
Monroe Area Baseball Coaching Staff, and Current Monroe Area Baseball Players
Location: Monroe Area High School Baseball Field
Dates: Mondays in June (6-4, 6-11, 6-18, 6-25)
Registration: Open Now
Time: 5:00pm-8:00pm (t-shirt provided)
Cost: $85
DEADLINE FOR REGISTRATION: June 7th, 2018
**Spaces are limited so return the form ASAP**
Campers Name:
_______________________________________________Age/Shirt Size: _____/_____
(Last) (First)
Home Address:
________________________________________________________________________
(Street) (City, State, Zip)
Name of Parents/Guardians:
__________________________________________________
E-mail address:
____________________________________________________________
Home Phone: ____________________________Cell: ___________________________
***Please designate which would be emergency contact number by circling***
Release Waiver of Liability (please read carefully before signing)
The undersigned hereby acknowledges that participation in this camp and related activities involves an inherent risk of physical injury and the undersigned, on behalf of the registrant, hereby assumes all such risk and does hereby release and forever discharge the camp and all employees and agents thereof from any and all liability of whatever kind and nature, arising from and by reason of any and all known, foreseen and unforeseen, bodily and personal injuries, damage to property, and the consequences thereof, resulting from this registrants participation in or involvement with this camp, including any failure of equipment or defect on or in the premises.
I hereby state that I am legal guardian of said child:
Date: _________ Participants Name: ______________________
Parent Signature: ______________________________________
Insurance Information:
Primary Company Name: ___________________________________
Policy #: ________________ Group #: ____________________
Phone #: _____________
RETURN REGISTRATION FORM AND CHECK PAYABLE TO
“Monroe Area Dugout Club”
Chad Kitchens
300 Double Springs Church Road
Monroe, GA 30656
OR PAY ONLINE AT
http://monroeareabaseball.com/index.php?page=playerdues
