Cougars Baseball

2018 FCC Baseball summer Baseball Camps Registration

Instructions:

1. Complete all required fields and choose "Submit Form"
2. Choose "Print" from the "Completed Online Forms Summary" page print form
3. Send $50 payment and signed registration form to:

Frederick Community College Baseball
7932 Opposumtown Pike
Frederick, MD 21702

(Sorry, no refunds are possible once clinic begins)

* Player Name:

* Address:

* City:

* State:

* ZIP:

* Home Phone:

* Emergency Phone:

* email:

* School:

* Age:

* Shirt Size (adult):

Parent/Guardian Authorization Statement

I hereby approve of my child's attendance at the Frederick Community College Cougar Baseball Clinic and certify that he/she is in good health and able to participate in this program. I authorize that the directors act for me according to their best judgement in any emergency requiring medical attention. I understand, should an emergency condition arise, I will be contacted. Part of the fee paid to attend the camp sponsored by Frederick Community College goes toward the limited participation medical insurance carried by FCC to cover accidental injury to the camper. This insurance is secondary coverage, meaning it covers only those medical charges NOT covered by the family medical (or primary) insurance. All claims for payment by this insurance must be accompanied by copies of the rejection forms from the primary insurer.

* Insurance Carrier:

* Policy Number:

* indicates required fields

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2018 FCC Baseball summer Baseball Camps Registration