Baseball Camp Flyer - Holiday Camp

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Baseball Camp Flyer - Holiday Camp Powered By Docstoc
					                MEDICAL RELEASE FORM                                                UPCOMING CAMP DATES
Medical Conditions: _______________________________________                           SPRING BREAK CAMP
Allergies: ________________________________________________
                                                                                       March 14, 15, 16
Current Medications: ______________________________________                 Session 1 — Ages 6-11—9a.m - 12 p.m.
Pertinent Medical History: __________________________________
                                                                         Session 2 — Ages 12– and up — 1p.m.— 4 p.m.

                   TRANSPORTATION INFORMATION:                                           SUMMER CAMPS
The following person(s) will be assisting in the transportation of my
                                                                                          Camp 1: Half Day
                                                                                                                                     BASEBALL CAMPS
child to and/or from the camp location: _______________________
My child will be notified by myself (parent or guardian) that he/she                      June 13,14,15,16
is only to get in a car with his parents/guardians or any of the per-                    (Monday—Thursday)
sons listed above.
                                                                                             Ages 6 - 11
                     TREATMENT:                                                           Camp 2: Half Day
                                                                                                                                     at The Dell Diamond
I, the undersigned, as the parent or legal guardian of minor child,                       June 27,28,29,30
_________________________________, hereby acknowledge that                               (Monday—Thursday)
the aforementioned child is covered by the following medical                                 Ages 6 - 11

Name of Policy Holder: ____________________________________                         Camp 3: Full Day/Overnight
Insurance Company: _____________________________________                                 July 11,12,13,14
Policy Number: _________________________________________
It is further understood that the Round Rock Express Baseball                             Ages 8 and up
Camps does not provide medical insurance covering injuries of any
nature incurred at the Round Rock Express Baseball Camp. The
undersigned hereby releases Round Rock Baseball, LP., its succes-                         Camp 4: Half Day
sors, officers, agents and employees, from any and all claims, de-                        July 25,26,27,28
mands and causes of action whatsoever in any way growing out of                          (Monday—Thursday)
or resulting from participation of the aforementioned child in the
Round Rock Express Baseball Camp.                                                             Ages 6-11
Consent for Treatment of a Minor                                        To learn more about the camps, visit
I, the undersigned, as the parent or legal guardian of
________________________________ (a minor), hereby authorize
such diagnostic, medical and/or surgical treatment of such minor                           TESTIMONIALS
as may be considered necessary or appropriate under the
circumstances for the treatment of any illness or injury of the         “I have watched Chris coach my grandson for the
minor. The attending physician, appropriate staff, and Round Rock
                                                                        last 4 years. His knowledge of the game is easily
Express and its officers and employees, as well as Round Rock
Baseball, shall not be responsible in any way for any consequences      translated to the kids he coaches. He has a unique           Holiday Baseball Camp
from said diagnostic, medical and/or surgical treatment and are         way of getting on the players’ level to teach the
hereby released from any and all claims and causes of action that
may arise, grow out of, or be incident to such diagnosis, treatment,    game of                                                       December 27, 28, 29
or surgery insofar as the law allows and provided that these ser-       baseball.”                               - Nolan Ryan
vices are performed with ordinary care and to the best of their
ability.                                                                                                                                Session 1          Session 2
                                                                                     Questions regarding the
Signature of Parent/Legal Guardian:                                        Round Rock Express Baseball Camps should be                  Ages 6-11        Ages 12 & up
                                                                                           directed to:
                                                                                                                                     9 a.m. – 12 p.m.    1 p.m. – 4 p.m.
                                                                           Chris Almendarez, Director of Baseball Outreach
Printed Name:
                                                                                         (512) 238-2214
Date:                                                                                                                       | 512.255.BALL
                  INTRODUCTION                                          CAMP DETAILS                                     REGISTRATION FORM
                                                                                                        Camper Name:
 The Round Rock Express will be offering a Holiday
 Baseball Camp for kids ages 6-11 and a Specialty
                                                                         Camp Dates
Clinic for advanced players 12 and up. Participants                  December 27, 28, 29
will receives instruction in hitting, defense, pitching,            (Monday—Wednesday)                  City: __________________ ST: ________ Zip: __________
    catching base running and baseball strategy.
                                                                          Session 1                     Parent’s Name:
                                                                          Ages 6-11
                   PHILOSOPHY                                          9 a.m. – 12 p.m.                 Parent’s Email Address:

         Our Philosophy is based on the most                               Session 2                    Emergency Phone #s: Home:
  respected, proven and latest training concepts.                       Ages 12 and up
    Drills and instruction are structured so each                    1:00 p.m. – 4:00 p.m.              Work: ___________________ Cell:
 camper enjoys the experience while learning the
    game of baseball. The Round Rock Express               Session 1 – Instructional /Developmental     Camper’s Age: _________     Birthdate:
    baseball camps are dedicated to setting the              Focus on the fundamentals of hitting,
    standard by embracing youth baseball in the                                                         Camper’s Shirt Size: YS______YM_______ YL_______
                                                                      throwing, fielding.
 state of Texas. We believe in teaching America’s                                                       AS_______ AM_______ AL_______ AXL_______
   national pastime to the youth of central Texas.
                                                            Session 2 – Advanced/Specialty Clinic       Please check which session you will be attending:
                                                             Focus on specific positions, pitching,     ____ Session 1 (ages 6-11)
                 MEET THE STAFF                             catching, base running, theory, strategy.   ____ Session 2 (ages 12 & up)
  Chris Almendarez, Director of Baseball Outreach
Chris oversees all non-Express baseball activities at                     Equipment
                                                                                                          Method of Payment
  the Dell Diamond. This includes camps, clinics,
high school and college games. Chris will serve as           Campers are encouraged to bring the               Check                      MasterCard

   the Camp Director for the Round Rock Express                      following to camp:                        Visa                       American Express
  Baseball Camps. Chris played collegiately for the                          bat
 University of Houston, as well as at Howard Junior                         glove                        Credit Card #                                 Exp. date
       College. Chris was an NJCAA Academic                             athletic shoes
All-American 2nd baseman while at Howard. He has                      (no metal spikes)                  Signature
 coached over 37 youth teams in the Central Texas
             area for the past 11 years.
                                                             Water jugs and bat bags are optional.
                  Coaching Staff
Campers learn from experienced baseball coaches
who are ex-professional players, collegiate coaches,
                                                           For Session 2, catchers are asked to bring
area high school coaches and collegiate players. All                their own catching gear.                       Register online at
  coaches are dedicated to give quality instruction
 and the camp ratio is 9-1 campers to coaches to                            Cost                   
           maximize personal attention.                              $150.00 per session                               or Mail to:
                                                                                                                Express Baseball Camps
                                                                                                               3400 E. Palm Valley Blvd.
                                                                                                                Round Rock, TX 78665