2012 Camp Registration Form

Please make the checks payable to:
Rich Jenkins
7 Holly Rd.
Pasadena, Md.  21122

Name of Player (first)_____________________________(last)_________________________

Date of Birth ___/___ /___  Age as of June 1st______ T-Shirt Size______________

Home Address_______________________________________________________________

City____________________________________  State_______ Zip________________

Home Telephone Number (____)______________  Cell Number _______________________

Mother's Name____________________________ Work Number______________________

Father's Name_____________________________ Work Number______________________

Email address for contact_______________________________________________________

IF A PROBLEM OCCURS DURING CAMP AND MOM AND DAD CAN'T BE REACHED,
 WHOM SHOULD I CONTACT?

Name of Person_____________________________________________________________

Relationship to Player_____________________________ Phone_______________________

Please circle which camp the player is attending.

Ages 5-8 Introduction to Baseball

Cost $160

7052.801- Centennial Park

June 25-29

9-12

7052.811- Rockburn Park

July 16-20

9:30-12:30

7052.813- Cedar Lane Pk

Aug 6-10

9-12
   

Ages7-9 Rookie Camp for Intermediate players

Cost $160

7052.802- Centennial Park

June 25-29

9-12

7052.812- Rockburn Park

July 16-20

9:30-12:30

7052.814- Cedar Lane Pk

Aug 6-10

9-12
   

Ages 8-15 The Baseball School for Advanced players

Cost $189

7052.801- Rockburn Park

July 16-20

9-2

7052.831- Cedar Lane Pk

Aug 6-10

9-2
   

Ages 8-15 Rich Jenkins Hitting Camp

Cost $175

RP 7057.801- Medowbrook Pk

June 25-29

9:30-12:30

 

Any Special Needs for your Son or Daughter _____________________________________

_________________________________________________________________________________

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