Bridgewater College

2008 Baseball Camp Official Application

Please print this page, complete the application, the medical release form and choose your camp session(s). Mail the completed form along with FULL PAYMENT for EACH camp to Curt Kendall, Future Stars Baseball Camp, Box 9, Bridgewater College, Bridgewater, VA 22812. When we receive your application and deposit, we will send a confirmation letter. Make checks payable to Future Stars Baseball Camp.

Name____________________________________       Phone(___)____________        

Email_______________________________________        Age ____________

Address__________________________________________   

City_______________     State_______________             Zip_____________

Date of Birth____________________________________________

School you attend_______________________________________________       

Grade in Fall '07 ___________       T-Shirt Size____________

CHOOSE YOUR CAMP

[       ] June 23-27 Fundamental,  $85 or $80 if by 5/1

[       ] June 23-25 Hitting,  $60

[       ] June 26-27 Infielder/Outfielder/Catcher, $50

[       ] July 7-9 Game Day Camp, $60

[       ] July 7-9 Pitcher, $60

[       ] July 10-11 Advanced Pitching Camp, $50

[       ] July 10-11 Advanced Hitting, $50

[       ] Lunch - $5.00/day for campers in morning and afternoon sessions (#)__________days @ $5.00= $____________

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Medical Release Form For (Players Full Name):_____________________________

NOTIFY IN CASE OF EMERGENCY

1. Name ___________________________________Address ___________________________________
Phone Number ________________________________________Relationship ________________________________________
2. Name ______________________________________Address ________________________________________
Phone Number_______________________Relationship _______________________
Any allergies to medicines, food, etc.___________________________________________
Does camper have history of serious illness/hospitalization/injuries?______________________________________________
Is camper currently taking any medication?______________________________________________

In the event my son/daughter suffers any illness or accident requiring medical treatment, medication, or hospitalization, I hereby give my permission for any medical treatment which may be deemed necessary and reasonable under the circumstances.

Signature of Parent or Guardian_____________________________________

Health Insurance Company_____________________________________

Policy Number_____________________________________

Group Number_____________________________________