May Training Registration

2017 Monroe Area Baseball

May Training Session

Ages: Rising 1st through 4th 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:  May 9, 16, 23, 30 2017

Registration: Open Now

Time:  6:00pm-8:00pm (t-shirt provided)

Cost:  $85

 

DEADLINE FOR REGISTRATION:  May 9th, 2017

**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

 

 

 

 

 

 

 

 

 

 

 

 

 

2017 Monroe Area Baseball

May Training Session

Ages: Rising 5th through 8th 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:  May 10, 17, 24, 31 2017

Registration: Open Now

Time:  6:00pm-8:00pm (t-shirt provided)

Cost:  $85

 

DEADLINE FOR REGISTRATION:  May 10th, 2017

**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