Boyle County Youth Baseball Camp

Sponsored by:

Boyle County High School Baseball Team

June 15th-17th, 2015

1:30 p.m. – 4:30 p.m.

Boyle County High School Baseball Field

Grades K-8

·  T-shirts for all participants

·  All areas will be supervised by Boyle County High School Coaches and

High School Players

It will be a fun three days for all future baseball players.

Come learn new drills that will help you in your summer season.

Camper’s Name:______Grade/Age______Birthdate:______

Address:______

Parents Name(s):______Phone Number______

In case of Emergency, contact:______Relation:______

Phone Number:______Cell Phone Number______

Circle ONE Size: Youth small Youth Med. Youth Lg.

Adult Small Adult Medium Adult Lg. Adult XL

Camp Fee is $75.00. Application fee: A $30.00 non refundable deposit is applied to the total fee.

Please make checks payable to Home Run Club.

Forms are available at all Boyle County Schools. Please drop forms off at Boyle County High School or mail to Coach Kyle Wynn.

Mail to:

Coach Kyle Wynn

1637 Perryville Road

Danville, KY 40422

****(Medical waiver and more information on back)****

Additional Information

·  Children of Boyle employees receive a $10 discount for each camper.

·  Family discount: The first camper from your immediate family pays full price. All additional campers can deduct $10 from camp price.

·  Team discount: If eight or more players from the same youth league, summer team, or middle school team attend, $10 can be deducted per player from camp price.

·  A $30 nonrefundable fee must accompany the registration form; balance due upon check in at camp.

·  Check in is from 1:00-1:30 Monday, June 15

·  What to wear: baseball pants or sweat pants, t-shirt, baseball cap and cleats.

·  What to bring: baseball glove, bat, sun screen, batting gloves.

Medical Information

I understand the potential for injury associated with playing baseball and therefore authorize camp directors, trainers, or any other medical personnel to act in case of an emergency requiring medical attention. I have instructed my child to obey all the rules, regulations, and instructions of camp personnel in an effort to minimize such risks. I certify that my child is in good physical health to participate in the Boyle County Baseball Camp. I agree that camp participants are responsible for any medical fees or costs that result from an injury suffered during camp activities. I additionally relieve all directors and staff members of any liability resulting from camp activities.

______

(Signature of parent or guardian)

Please list any physical limitations, impairments,

or allergies of the camp participant:

______

______

______

Primary Insurance Co:______

Policy Number:______