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INDIANA BASEBALL CAMP

IN CASE OF EMERGENCY DURING CAMP:

Contact Casey Dykes HERE

FOR REGISTRATION INFORMATION:

E-Mail: Click Here!
Register On-Line: Now Available!
2019 Summer Camp Brochure: Coming Soon!

All Indiana Camps are open to all and any entrants

2019 Hoosier Baseball Pitcher Only Skills Camp

Registration Note: Registrations will be accepted until the camp is full. No refunds for cancellations or no shows.

 
Camper's Name (Last, First)*
 
Camper's Home Phone*
 
Camper's School*
 
Height (i.e. 6'1")*
 
Weight*
 
Age*
 
HS Graduation Year (i.e. 2021)*
 
Camper's E-Mail Address
 
Parent's E-Mail Address*
 
Home Address*
 
City*
 
State*
 
Zip*
 
Parent/Guardian Name(s)*
 
Parent/Guardian Cell #*
 


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*
 
Insurance Company*
 
Policy Number/Group #*
 
Name of Policy Holder*
 
Allergies/Allergic Reactions
 
Present Medication (include dosage)
 
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 Jeff Mercer 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 Jeff Mercer Baseball Camps.

 
Qty 
 $50.00 Individual Registration - Payment in Full