Fifteen Sports, Inc.
Baseball Camp
Summer 2016
Camp details:Ages 7-13
Dates: June 13 – 16, 2016 (camp 1)Location: Stumpy Creek
July 11 – 15, 2016 (camp 2) 160 Stumpy Creek
Sign up for both dates! Mooresville NC 28115
Time: 10:00a.m. – 2:00 p.m.
Cost: $80.00 per week (camp) (preregistration preferred)
$150.00 if you preregister for both camps by June 5, 2016.
Camp T-shirts will be an additional $15.00.
Registration:
To register, please fill out the attached form. Return the completed form (required) and camp fees to Fifteen Sports at the address provided below or register the first day of camp between 9:30 a.m. and 10:00 a.m.If you plan to register the first day of camp, please send an email and let us know you are coming!!
Make checks payable to: Fifteen Sports, Inc.
Mail to:1480 Mt. Ulla Highway
Mt. Ulla NC 28125
Please include registration form.
Camp Features:Participants needs:
Hitting instructionAppropriate clothing
Base running instructionBaseball hat
Infield instructionSunscreen
Outfield instructionAny gloves, bats, batting gloves, etc
Pitching instructionLunch (water will be provided)
Catching instructionAppropriate protective equipment
Additional information:
Sheila Allman 704-662-3014
Director:Coach Reece Honeycutt 704-880-8674
Instructors will include experienced coaches and collegiate players. For more information concerning our instructors, please contact us!
Thank you for your interest in the 3rd annual 15 Sports Baseball Camp!
Please fill this form out completely and return.
General Information
Name: / Date of Birth:Address: / Grade: / T-shirt size:
Phone:
Parent/Guardian Information
Name: / Home phone:Address: / Cell phone:
e-mail:
Name: / Home phone:
Address: / Cell phone:
e-mail:
Emergency Contact (contact will be made in order as listed)
Name: / Phone:Name: / Phone:
Name: / Phone:
Waiver and Release
My child has permission to participate in the 2016 Fifteen Sports Baseball Camp. I certify that within the past year my child (named above) has had a physical examination and that my child (named above) is physically able to participate in all camp activities. In the event of illness or injury, I hereby give consent for medical treatment to be administered. I also give permission to any physician who may need to become involved, the right to hospitalize, secure proper treatment and order injections, anesthesia, or surgery. I will be responsible for all medical or other charges in connection with my child’s attendance at camp. I also certify that my child is covered by the following insurance.
Insurance Information (required)
Insurance name and address: / Policy #Group#
Are there any restrictions on the camper’s participation? Yes_____ No ______
If so, explain in full ______
Applying for acceptance to this camp, I, intending to be legally bound, hereby for myself, my heirs, executors and administers, waive and release any and all rights and claims I may have against Iredell Parks and Recreation Department, Fifteen Sports, Inc., or its representatives (including director and instructors) for damages or injuries that may be sustained by my child while participating in the Fifteen Sports Baseball Camp.
______
Parent/ Guardian Date Parent/Guardian Date