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Destiny Lil’ Sluggers Hitting Camp Registration 2012
Date
– Saturday December 15th 2012 9am-12pm
Ages
– 5-11
Price
- $75
Equipment
Needed – Bat, Glove, Baseball shoes and Tennis Shoes (in case of weather)
Instructors : Clint McDonald, Jerry Bradshaw, Ryan Highley
Contact Information : cmcdonald@twca.net or 936-273-2555 x 1305
(Mail payments to Clint McDonald
216 Springs Edge, Montgomery Tx 77356)
Participants Name: ________________________________________________
Address: _____________________________________,
City ___________ Zip ______
Participant’s Age:
________ Entering Grade:
_________
Person to contact during camp
hours:
________________________________________
Contact Phone #’s: Home: __________________ cell: __________________________
INSURANCE WAIVER
In order for your child to
participate in the 2012 Destiny baseball camp it is necessary for you to sign
this statement.
The undersigned is/are Parent(s)
or Legal Guardian(s) of:________________________
Child’s Name
By my signature, I am
informing Clint McDonald and his baseball camp staff along with Woodlands
Christian Academy and Destiny that they are in no way liable for any injuries,
medical expenses, or damages. We
have made the choice of using our personal insurance program. We acknowledge that we have named the
choice on behalf of our child without any interference from anyone serving or
employed by Woodlands Christian Academy or Destiny in any capacity.
Father/Legal Guardian
Signature:___________________________ Date: ____________
Mother/Legal Guardian
Signature: __________________________ Date: ____________
Insurance Carrier:
________________________________________________Policy/Group #_______________
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