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2019 Summer Fun Camp

SINGLE/FIRST PLAYER INFORMATION

* First Name:

* Last Name:

Age:

Home Phone:

ADDITIONAL PLAYER INFO (E.g. Troy Smith, 7)

Players::

PARENT/GUARDIAN #1

Firstname:

Lastname:

EMail:

Home Phone:

Work Phone:

Cell Phone:

PARENT/GUARDIAN #2

Firstname:

Lastname:

Email:

Home Phone:

Work Phone:

Cell Phone:

MEDICAL/EMERGENCY CONTACT INFORMATION

Emergency Contact:

Phone:

Relationship to Player:

WAIVER INFORMATION

*** Insert your waiver information here ***

I/we agree with the above *

test

* indicates required fields

IMPORTANT: Online Payment with credit cards is not active for this form

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Belle River Minor Baseball Association

SITE REMOVAL NOTIFICATION!

2019 Summer Fun Camp