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HOOSIER BASEBALL CAMP

2013 LIL' HOOSIER BASEBALL CAMP

July 8-11, Bloomington, Indiana
at Indiana University

CAMP COSTS

$165.00

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

2013 Lil' Hoosier Camp

As of June 29, IU Baseball Camp has SOLD OUT
Click Here if you'd like to be added to the Wait List in case there are additional openings.
 
Registration Note: Registrations will be accepted until the camp is full. 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 beginning of camp. At any time after that date, refunds (less the $75.00 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.
 
Camper's Name (Last, First)*
 
Home Address*
 
City*
 
State*
 
Zip*
 
Parent's E-Mail Address*
 
Age*
 
Primary Position*
 
Camper's School*
 
Grade Entering (as of Sept. 2013)*
 
Graduation Year*
 
T-Shirt Size*
 Y-S
 Y-M
 Y-L
 S
 M
 L
 XL
 XXL
 
EMERGENCY NUMBERS  
Father's Home Phone #
 
Father's Cell Phone #
 
Father's Work Phone #
 
Mother's Home Phone #
 
Mother's Cell Phone #
 
Mother's Work Phone #
 
Name and phone number to call if parents cannot be reached*
 


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.
 
Name of Minor*
 
Birthdate (Month/Day/Year)*
 
Insurance Company*
 
Policy Number/Group #*
 
Social Security # (if used by insurance)
 
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
 

* I grant permission to the Directors, Assistants, or other persons responsible for care to act on my behalf of said minor in granting permission for evaluation and treatment of medical and psychological problems. I understand that should a major medical or psychological problem arise, an attempt will be made to notify me by telephone. In the event that I cannot be reached, I hereby give consent to such medical treatment as deemed necessary including surgery, x-ray examinations and anesthesia to be rendered to said minor by a licensed physician or nurse.  

Waiver and Release: I do hereby waiver, release and discharge the Tracy Smith Hoosier Baseball Camp and the respective staffs, employees, successors and assigns, of and from any and all rights and claims for damage resulting from injury of my person or property, which may be or arising out of my traveling to or from the Tracy Smith Hoosier Baseball Camp. I/we, the parents/guardians, agree to the above waiver and release and we join therein. I give permission to Indiana University and the Tracy Smith Hoosier Baseball Camp to take photographs and videos of my child during the course of the camp activities. These photographs may be used for publicity purposes by the Tracy Smith Hoosier Baseball Camp.  

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 
 $165.00 Individual Camper - Payment in Full