2010 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______________________
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.
Please enter any particular skills you would liked stressed during this camp below.
July 19-23 The Baseball School at Rockburn Pk 7052.821 9 – 2
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July 5-9 Introduction to Baseball at Kiwanis Pk 7052.801 9 - 12
July 19-23 Introduction to Baseball at Rockburn Pk 7052.811 9:30-12:30
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July 5-9 The Rookie League at Kiwanis Pk 7055.802 9 - 12
July 19-23 The Rookie League at Rockburn Pk 7052.812 9:30-12:30
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July 5-9 The Hitting Camp at Kiwanis Pk 7057.801 9:30-12:30
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Special needs or concerns (Peanut Butter, Bee Stings, etc.)_____________________________________
_________________________________________________________________________________
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