BBA - Winter Hitting Camp Registration Form - 2016 - FINAL.Pdf

Bulldog Baseball Association

Summer

Baseball

Camp

Dates:June 5-9,2017

Director:

SteveTorricelli

Director of Operations:

Nino Mattera

Instructors:

Area College and High School Coaches

College and High School Players

Ages: 7-13

Fee: $175 for up to 32 hours of instruction including a camp T-shirt. A second child costs $150. Price includes lunches.

Please Note: There is a $25 cancellation fee.

Team Pricing Available- Call Coach Tor for more info.

Location:

Robin Roberts Stadium

Lanphier Park

InsuranceMedical

Aparental authorizations/releaseofinformation formisincludedandmustbereturnedwiththe registrationform. Allinsuranceinformationmust becompleteorthecamperwillnotparticipate. Allparticipantsmusthaveproofofmedical insurance. Camperswhodonothaveinsurance willberesponsibleforallmedicalpayments.

Note:Campincludedmuchphysicalactivity. Participantsareencouragedtobeproperly conditioned.

RulesRegulations

Campersmustabidebytherulesregulations

oftheBulldogs‘BaseballCamp.Anyserious violations,damagetofacilityproperty,orother behaviordeemeddetrimentaltothegroupwill resultinimmediatedismissal.Therewillbeno refundoffeesuponexpulsionorvoluntary withdrawalfromthecamp.

Questions

Pleasecall(217)652-7090oremail

withquestionsregarding registration, cancellation,generalinquiriesorin caseofinclementweather.

Registration

Registrationmustbereceivedinthe mailby Friday,June 2,2017.To submitan applicationafterthisdate,youmustcall SteveTorricelliat(217)652-7090toarrange registration.Formoreinformationorquestions, PleasecontactCoachTorricelli.

Makechecks payableto

BULLDOG BASEBALL ASSOCIATION

CAMPER'SNAME______
CAMPERS AGE______
PARENTALCONTACT INFORMATION
CELL #______
HOME #______
PARENT'SEMAIL ADDRESS :
______

Camp Schedule

8:00 a.m. Drop off campers

*Please do not drop off before 8

9:00 a.m. Stations, drills, contest, and games

11:45a.m. Lunch

12:30 p.m. Stations, drills, contest, and games

2:00 p.m. End of Camp

T-SHIRTSIZE: (circle one)
Youth: Small Medium Large XL
Adult: Small Medium Large XL XXL

Required

ParentalAuthorization/ Release ofInformation

ConsenttoTreatment

LimitationandWaiverofLiability

In partial considerationofourchild'sacceptance into

The BulldogBaseballAssociationSummer Baseball Camp

Camper'sName______

doherebyagreetolimit the liabilityof theBULLDOG BASEBALLASSOCIATIONSUMMER BASEBALL CAMP, TheBulldogBaseballAssociation,itsemployees,officers, and stafftothecoverageof themedicalinsurance policycoveringparticipantsintheBulldogBaseball AssociationSUMMER BASEBALL CAMPasexplainedin thisbrochure,wehavereadandunderstand,/we furtheragree towaiveallliability,exceptforlosscausedbygrossnegligence,oftheBBA

WINTER SKILLS CAMPcamp,itsemployees, agents,officersandstaff

Foranyaccident,injury(includingdeath),

illnessor othermishapwhichmightbefalltheabove­ namedcamperwhiletravelingtoorfrom,orduring his/herattendanceattheBBA Winter Skills Camp,whichnotcoveredbysaidmedicalinsurance policy. Further,weherebygrantpermissiontothestaff andCoaches,andanyhospitaltorendertotheabove­ namedcamperanymedicaltreatmentthattheydeem necessary.Weunderstandthatallpossible effortwillbe madetoinformme/usincaseofsuchtreatment.

Thishealthhistoryiscorrecttothebestofmy/our knowledgeandmy/ourson/daughterhasmy/our permissiontoparticipateincampactivitieswiththe exceptionofthosenotedunderphysicalrestrictions.

PARENTOR LEGALGUARDIAN'SNAME(printed)

EMERGENCY CONTACT NAME: / CELL #

Required

Camper'sHealthForm

Tobecompletedbythecamper’s parentorlegalguardian.

CIRCLEYES/NO/NONEORENTER INFORMATION

ALLINFORMATIONMUSTBECOMPLETED INORDERTOPARTICIPATEINTHECAMP.

YESNOAsthma

YESNOConvulsions/Seizures

YES NOHeartDisease

YES NOBleedingDisorders

YESNODiabetes

YESNORheumaticFever

YESNOHeadInjury/Concussions

AllergiestoDrugsNONE

AllergiestoFoodsNONE

CurrentMedicationsNONE

Chronicor RecurringIllnessesNONE

Operations/Injuries(includingdates)INONE

PhysicalRestrictions/NONE

PhysicianName______PhysicianTelephone______

Camper'sDateofBirth___

Pleaseenclosespecialaccessibilityaccommodation requests.

InsuranceInformation-REQUIRED

(MUSTATTACHCOPYOFINSURANCECARD)

Insured Name: ______

Name of Company: ______

Policy #:______

Phone Number: ______

_____

___

Adoctor'sreleasemustbeattachedifcampersrecoveringfromarecentillnessorinjury,orifhe/she willbeparticipatingwithacastorsplint.

AboutTheCamp

Summer Baseball Campisheadedbythe

BulldogBaseballAssociationBaseball

Coachingstaff.Coordinatingtheeventis

CampdirectorSteveTorricelli andis assistedby outstandingcoachesfromaround the area.

Baseballplayers 7-13willhavefun honingtheirhitting,bunting, base running, fieldingskillsthrough campinstruction.Withplannedactivitiesthat willhelpdevelopskillsincompetitiveplay

andsportsmanship,playersimprovephysical conditioningforbaseballandmakenew friendsalongthe way.

WhattoBring

Campersshouldbringthe followingitems: baseballbat,tennisshoes,gloves, athleticsupportersandcup, hat etc..

Batting helmets willbe availableforthosewhodo notbring theirown.

ParentsareinvitedtoobservetheCamp.

AllcampersreceiveanAuthentic CollectionBulldogBaseballAssociation campT-shirt.

Mailthisformto:

BULLDOGBASEBALL ASSOCIATION

SUMMER BASEBALL CAMP

1007MesaDrive

Chatham,II.62629