Registration - Baseball High School Camp

Camp Date:

Camp Date: July 15, 2025 August 12, 2025
Student Name: Student Name: First Last
Date of Birth: Date of Birth: / MM / DD YYYY
Current Age:
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code
Primary Phone: Primary Phone: - ### - ### ####
Parent/Guardian Email:
Student Email:
School District:
Current Grade Level:
Primary Position
Secondary Position
Emergency Contact Name #1 Emergency Contact Name #1 First Last
Relationship
Phone Number 1 Phone Number 1 - ### - ### ####
Emergency Contact #2 Emergency Contact #2 First Last
Relationship
Phone Number 2 Phone Number 2 - ### - ### ####
Insurance Company
Policy Holder Name
Policy Number