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HOOSIER BASEBALL CAMP

2012 HOLIDAY ACADEMY CAGE SESSION

Dec. 27-28, Bloomington, Indiana
at Indiana University

DETAILS

$35.00/session
All Ages Welcome

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 Holiday Academy Cage Time

Registration Note: Your camp fee, less a 50% non-refundable administrative deposit will be refunded without question, if you cancel at least two weeks prior to the beginning of camp. At any time after that date, refunds (less the 50% administrative fee) will be made for medical reasons only and must be accompanied by a signed medical statement from your physician within 30 days from the start of camp. If no request for cancellation is made before the camp begins, absolutely no refunds will be given.  

Time Slot*
 Dec. 28 - 11:30 am-12 pm
 Dec. 28 - 12-12:30 pm
 Dec. 28 - 12:30-1 pm
 Dec. 29 - 11:30 am-12 pm
 Dec. 29 - 12-12:30 pm
 Dec. 29 - 12:30-1 pm
 

Camper's Name (Last, First)*
 
Home Address*
 
City*
 
State*
 
Zip*
 
Camper's Home Phone #*
 
Parent's E-Mail Address*
 
Age*
 
Primary Position*
 
Graduation Year*
 
EMERGENCY NUMBERS  
Father's Home Phone #
 
Father's Work Phone #
 
Father's Cell Phone #
 
Mother's Work Phone #
 
Mother's Home Phone #
 
Mother's Cell Phone #
 
INSURANCE INFORMATION  
Insurance Company*
 
Policy Number/Group #*
 
Name in which Policy is listed*
 
Any past illness or other information that would be useful in the event of medical treatment
 
Allergic Reactions
 
Present Medication (include dosage)
 
WAIVER AND RELEASE  

* I, the undersigned, submit that my son or daughter is physically fit to participate in strenuous athletic activity and I waive Tracy Smith Hoosier Baseball Camp, LLC from any and all responsibility for injury or illness. I hereby authorize the directors of Indiana Baseball Holiday Academy 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 such medical expenses and provide Tracy Smith Hoosier Baseball Camp, LLC proof of medical and accident insurance. I also understand my payment 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.

 
Qty 
 $35.00 Holiday Academy Cage Registration - Single Session