Starz of Tomorrow Baseball Academy

Starz Friday Funday

Location: St. Cloud

June 6, 13, 20 August 1, 8, 15, 22, 29 from 10-noon

$25 per Friday or $150 for ALL 8!

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_______________________________________