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HOOSIER BASEBALL CAMP

2013 HOLIDAY ACADEMY YOUTH SKILLS CAMP

Dec. 28-29, Bloomington, Indiana
at Indiana University

CAMP DETAILS

$120.00
Ages 5-12
9 a.m.-12:30 p.m.

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 Holiday Youth Skills Camp

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.  

Camper's Name (Last, First)*
 
Home Address*
 
City*
 
State*
 
Zip*
 
Camper's Home Phone #*
 
Parent's Cell Phone #*
 
Parent's E-Mail Address*
 
Age*
 
Primary Position*
 
Graduation Year (i.e. 2020)*
 
T-Shirt Size (select one)*
 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 #
 
INSURANCE INFORMATION  
Insurance Company
 
Policy Number/Group #
 
Name of policy holder
 
Please describe any medical condition we should be aware of
 
Present Medication (include dosage)
 
Allergic Reactions
 
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.  

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 
 $120.00 Individual Registration - Payment in Full