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TACOMA RAINIERS 2011 BASEBALL CAMP CAMP REGISTRATION FORM NAME DATE OF BIRTH BOY GIRL NAME DATE OF BIRTH BOY GIRL PARENT(S)/GUARDIAN NAME PRIMARY PHONE CELL PHONE ADDRESS CITY STATE ZIP EMAIL July 28th-29th at Cheney Stadium Camp is designed for youth baseball players from 6-14 years of age Rainiers coaches and players will lead the camp Every camper receives the following: o Seven hours of professional training (July 28th & 29th 8:30am – 12:00pm). o One Rainiers baseball cap and four tickets to the July 30th baseball game o An additional giveaway item o Autograph session with players after the July 29th camp session. o All campers attending the July 30th game will participate in an on- eld parade. PAYMENT - $150 per person through June 18th $175 per person after June 18th VISA MasterCard AmEx Check Credit Card Number: Exp: CVC Code:____ Name as it appears on the credit card Please email, mail or fax this form, along with payment to: Tacoma Rainiers Professional Baseball 2502 South Tyler Street Tacoma, WA 98405 Please make checks payable to “Tacoma Rainiers Professional Baseball” Please direct all inquiries to Sarah Yelenich at (253) 761-5633 or (FAX) (253) 752-7135 or email@example.com This release is made to allow my child to participate in the Tacoma Rainiers baseball camp program. I recognize that my signatu re on this release is a condition to my child’s participation in the camp. I hereby certify that my child is in excellent physical health, and may participate in the cmp activities, which may be strenuous. I certify that there are no physical limits to my child’s participation in the camp. In the event that I cannot be contacted in an emergency, I hereby grant permission to the Tacoma Rainiers to give whatever immediate t reatment is necessary and/or take my child to a hospital or other medical treatment in connection with his/her participation in the camp. I understand that no reduction in the tuition will be made for late arrival, early departure, vacations, illness or injury. Per mission is herby granted for photographs and/or videotapes to be taken of my child at the camp. The Tacoma Rainiers have the right to utilize these photographs for any purpose, including without limitation in camp brochures or displays. I have carefully read all of the information in this form and agree to all conditions. I represent that I am the parent/guardian of the minor named above and I agree that the grant and release contained therein bin ds the minor, all heirs, and myself to all of its terms. Pa r e n t / G u a r d i a n S i g n a t u r e Date
"2010 Baseball Camp"