Starz of Tomorrow Baseball Academy

Presidents Day Camp

MLK camp is 10 AM - 3 PM

Presidents' Day camp 1:30 PM - 6:30 PM.

Pat Dolan: 320-333-3336 or Pat@StarzBaseballCamp.com

Registration Information:

Participant's name: ______________________________________________________________

Position #1 ___ #2____Ht _____Wt ____Bat ___Throw __

Family Address _________________________________________City _____________ Zip ___

Daytime Phone _______________E-Mail (please print clearly!)_______________________________

Medical Information

Doctor__________________________________Phone_________________________________

Insurance coverage________________________________________________________

Statement of Release: I agree to release the Starz of Tomorrow Baseball Academy and all their employees of all liability related to accidents or injuries which may occur while participating in the above activity. I also give permission for emergency medical procedures to be administered if I cannot be contacted in case of an emergency.

Parent/Guardian signature __________________________________Date_______________________________________