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HOOSIER BASEBALL CAMP

2012 PROSPECT CLINIC III

Dec. 28, Bloomington, Indiana
at Indiana University
1 p.m. - 8 p.m.

CAMP COSTS

$160.00

FOR REGISTRATION INFORMATION:

Phone: 1-812-855-9155
E-Mail: Click Here!
Register On-Line: Now Available!
2014 Summer Camp Brochure: Click Here!
2014-15 Prospect Camp Flyer: Click Here!


If Mailing in registration, send to:
IU Base
3330 Spring Branch Rd.
Bloomington, IN 47401

All IU Camps are open to all and any entrants

2012 Prospect Clinic III

REGISTRATION NOTE: As of Dec. 20, this camp is SOLD OUT and no more registrations can be accepted.

 
Registration Note: Cancellations and/or requests to change clinic dates will be accepted up to two weeks prior to a clinic. Within two weeks of the clinic, you must present a physician’s note in order to switch dates or cancel and receive a refund. All payments are subject to a $50 handling fee. Your camp fee, less a $75.00 non-refundable administrative deposit, will be refunded without question if you cancel at least two weeks prior to the clinic.
PLEASE NOTE: Though we have reserved seven hours for this clinic, many times we release players earlier. The clinic is an estimate and is based on the number of players attending and the depth at their positions.  

Camper's Name (Last, First)*
 
Camper's Home Phone*
 
Camper's High School*
 
Height*
 
Weight*
 
Age*
 
Position (please list primary position)*
 
Graduation Year*
 
Camper's E-Mail Address*
 
Parent's E-Mail Address*
 
Home Address*
 
City*
 
State*
 
Zip*
 
Parent/Guardian Name(s)*
 
Parent Work Phone #
 
Parent's Cell Phone #
 


MEDICAL CONSENT FORM
To enable the Health Center of Indiana University and/or other health facilities in Bloomington to provide prompt care to your son, we must have a completed Consent Form on file each year. This way, we can help your child without delay in an emergency.
 
Birthdate (Month/Day/Year)*
 
Insurance Company*
 
Policy Number/Group #*
 
Allergic Reactions
 
Present Medication (include dosage)
 
Date of Last Tetanus Toxoid
 
Any past illness or other information that would be useful in the event of medical treatment
 

* Waiver: I, the undersigned, submit that my son or daughter is physically fit to participate in strenuous athletic activity and waive the Indiana University Prospect Clinic, Tracy Smith Hoosier Baseball Camp, LLC, Indiana University, and all sponsors from any and all responsibility for injury or illness. I hereby authorize the directors of the camp to act for me according to their best judgment in an emergency requiring medical attention. I understand that I am solely responsible for the payment of any such medical expenses and provide the camp proof of medical and accident insurance. I also understand that my deposit is subject to a $50 handling fee.  

Parent/Guardian Name*
 
Date*
 
PAYMENT OPTIONS
Please select your payment option by indicating a '1' in the quantity field. We need a registration form and consents completed for each participant.

Note: A charge from Hoosiersportscamps.com will appear on your credit card for your on-line registration. However, if any of the IU Baseball Camps are canceled for any reason, refunds must be collected directly from IU Baseball Camps, 3330 Spring Branch Rd., Bloomington, IN 47401. Phone 812-331-1334.