Merrillville High School Baseball Camp Registration

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					      2011 Merrillville High School Youth Baseball
                   Camp Registration
Ages: 7 years old through 8th Grade

Dates: February 14, 15, 16

Time: 6:00 – 8:00 pm

Location: Merrillville High School Fieldhouse

Cost: $40 per camper ($30 for each additional camper from same family)
          ~ Checks made payable to Merrillville High School Baseball
          ~ Pre-Register by February 7th to ensure getting a Camp T-Shirt

Attire: Athletic clothes, shoes, and baseball glove. Bats are optional.

Mailing Address: Merrillville High School
                             c/o Mark Schellinger
                          276 E. 68th Place
                          Merrillville, IN 46410
Features:
          -    Instruction from MHS Coaching Staff and Players
          -    Use of same equipment the Varsity Baseball Team Uses
          -    Camp T-Shirt (Pre-Register by February 7th to ensure getting a T-Shirt)
          -    Participation Certificate
          -    Ticket to a MHS Varsity Baseball Game
          -    All campers will be tested for throwing speed
          -    Award Certificates for Various Contests per Age Groups

Follow Pirate Baseball at mhspiratebaseball.com
Please detach the bottom part of the page and include it with the payment.
________________________________________________________________________

Name _________________________________________                                    Grade__________________

Parent/Guardian _________________________________                                 Phone #_________________

Address ________________________________________                                  City ___________________

Emergency Contact _______________________________                                 Phone # ________________

                                                                        Make Checks Payable to:
T-Shirt Size: Circle One                                                Merrillville High School Baseball
                                                                        Send Form and Payment to:
Youth: S            M         L                                         Merrillville High School
                                                                          c/o Mark Schellinger
Adult: S            M         L          XL        XXL                  276 E. 68th Place
                                                                        Merrillville, IN 46410

We do hereby give permission to our child to participate in the Merrillville Community School Corporation sponsored camp.
We, as the guardians, will assume responsibility for our child’s medical fitness for the camp. We hereby waive, release,
discharge the camp staff, athletic departments, and the school corporation from any liability for the injuries and illness incurred
while at the camp or arising from travel to and from the camp.

Guardian Signature: ______________________________________                                            Date: ________