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INDIANA BASEBALL CAMP

2017 summer CAMP 3

Overnight Camp
July 10-13, Bloomington, Indiana
Bart Kaufman Field at Indiana University

CAMP COSTS

$565.00

IN CASE OF EMERGENCY DURING CAMP:

Contact Roger Rodeheaver at TBA

FOR REGISTRATION INFORMATION:

E-Mail: Click Here!
Register On-Line: Now Available!
2016-17 Prospect Camp Flyer: Coming Soon!


If Mailing in registration, send to:
Chris Lemonis Baseball Camp
2909 S. Somerset Place
Bloomington, IN 47401

All Indiana Camps are open to all and any entrants

2017 Summer 3 Camp

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)*
 
Parent/Guardian Name(s)*
 
Home Address*
 
City*
 
State*
 
Zip*
 
Parent's E-Mail Address*
 
Age*
 
Primary Position*
 
Grade Entering (Fall 2017)*
 
HS Graduation Year (i.e. 2020)*
 
Camper's School*
 
T-Shirt Size*
 Youth Small
 Youth Medium
 Youth Large
 Small
 Medium
 Large
 X-Large
 
Roommate Preference
 
EMERGENCY NUMBERS  
Mother's Home Phone #
 
Mother's Cell Phone #
 
Mother's Work Phone #
 
Father's Home Phone #
 
Father's Cell Phone #
 
Father'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 #*
 
Allergic Reactions
 
Present Medication (include dosage)
 
Date of Last Tetanus Toxoid
 
Any past illness, injury or other information that would be useful in the event of medical treatment
 

* Waiver: I, the undersigned, submit that my son or is physically fit to participate in strenuous athletic activity and waive the Chris Lemonis Hoosier Baseball Camp, LLC, Forward Marketing LLC, 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 $75 administrative fee.  

* By my submission of this registration, I represent that I am either 18 years of age or older, or that I am the parent or legal guardian of the registrant (if he/she is under age 18). I represent I have read the terms of the Privacy Policy, that I understand the manner in which the information collected about the registrant may be used, and that I agree to the use of the registrant’s personally identifiable information in the manner described in the Privacy Policy.  

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 Indiana Baseball Camps are cancelled for any reason, refunds must be collected directly from Chris Lemonis Baseball Camps, 2909 S. Somerset Place, Bloomington IN 47401.

 
Qty 
 $565.00 Individual Registration - Payment in Full