Camp registration Page

*(denotes required field)

Attending Christmas Camp 2011 December 19th – 21st

Full Name of PROKid *

Current League Age *

Mailing Address *

City *

State *

Zip *

Phone Number *

Daytime Emergency Phone Number *

Baseball League Affiliation *

Email *

T-Shirt *

(Y) MED
(Y) LG
(A) SM
(A) MED

Number of Campers *

x $225

= Total Cost *

WAIVER
I hereby authorize the staff of PROKids to act on my behalf according to their best judgment in the event of any emergency requiring medical attention. I hereby waive and release PROKids Baseball Academy from any and all liability for any injury or illnesses occurring while my child is attending the Academy. I have no knowledge of any physical impairment that would be affected by the above named camper’s participation in the PROKids Baseball Academy as outlined in the brochure.

Parents Signature *

How did you find out about the Academy?

Friend/Family
Flyer
League Website
Internet
Other

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