Field of Dreams Baseball Camp

 

Participants Name: __________________________    Age: ____

 

Phone #: ___________  Email: ____________________________

 

Address: ___________________________________________________

 

               ___________________________________________________

 

In order for you child to participate in the Baseball Camp it will be neccessary to have this form completed, properly signed and returned to WCRC prior to participation.  There is a $40.00 registration fee for those registered by April 2nd, 2010 at 3:00 p.m.  On-site registration fee is $50.00. 

We/I give my permission for the above name child to participate in the Field of Dreams Baseball Camp.  It is clearly understood and agreed that the  Wood County Recreation Commission, it's sponsors an all persons connected with this camp will not be held liable in the event of injury to your child. 

 

Signed: ____________________________Date: _________

 

Relationship to the Participant: __________________

 

Medical Information

I/We agree to authorize     or      Do not agree to authorize

(please circle one)

The Wood County Recreation Commission, staff, coaches or medical persons to share information concerning injuries or health problems of the participant. 

 

Paticipants name: ____________________________

 

Parent/guardian signature: __________________ Date: ____