Registration
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2010 Registration
Boston Baseball Camp
Post Office. Box 365453
Hyde Park, MA 02136
617-361-7362
Boston Baseball Camp is now accepting applications for the 2010 summer season.
Click here to print
off a Registration Form + Medical Form and mail to the above address (Microsoft
Word)
Click here to print
off a Registration Form + Medical Form and mail to the above address (.pdf file)
Location: West Roxbury High School
Time: 9 a.m. - 2 p.m.
Ages: 7-14
Four one week sessions, beginning Monday, July 12th.
Fee: $100.00 for one child, additional $50.00 for second child in a family, $10.00
for each additional child in a family.
Physical Current physical exam (within past 24 months) is necessary, as well
as an up-to-date record of immunizations. Please enclose with application.
• A child may attend camp for one or two weeks. Weeks need not be consecutive.
In order to minimize registration problems, we suggest that payment be made
at time of registration. If this presents a problem, please register and indicate
when payment will be made.
• Financial aid is available for families who would otherwise be unable
to afford camp. To apply for aid please include a short note indicating why
you wish to receive scholarship aid. It is our intent to offer this camp to
any child who wishes to participate, regardless of financial status.
• Due to the great popularity of this camp, we suggest that you register
early, and if any changes need to be made, we will do our best to accommodate
you. Registration fee is non-refundable, except in cases of injury or illness
of the child.
• After May 1st registrations will be accepted, on a space available basis,
from non- Boston residents at a cost of $150.00 per child.
Boston Baseball Camp complies with all State regulations.
Boston Baseball Camp 2010 Registration Form
Please print all information clearly, particularly phone #'s
Child Name____________________________ Date of Birth________
Age(at camp)______
Address__________________________________________Zip Code________
Email Address______________________________________________________________
Parent Name___________________________________
Home Phone____________________ Daytime Phone______________
Other Phone____________________________
Emergency Contact___________________________ Phone_______________
Sessions:
1) July 12-16________________
2) July 19-23________________
3) July 26-30________________
4) August 2- 6_________________
Parent Signature__________________________________________________________
Medical information: ____enclosed ___will forward
Medical Information
Boston Baseball Camp
PO Box 365453
Hyde Park, MA 02136
Please return this form before your child attends camp. Thank you.
Indicate any recent illness or medical or health issues that we should be aware of, such as asthma or allergies, medication, eyeglass or contact lens wear, or anything else which may affect your child.
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MANDATORY PHYSICAL EXAM & IMMUNIZATION
Registration WILL NOT be complete until we receive a copy of the most recent physical exam and immunization record. In order to participate the physical must have taken place within 12 months of attending camp.. Due to the Board of Health regulations, each camper must submit an updated copy of most recent physical and immunization record regardless of previous attendance at camp.
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PARENTAL CONSENT FORM FOR EMERGENCY MEDICAL CARE.
I hereby grant permission for Boston Baseball Camp personnel to call 911 and provide for emergency medical care in the e event that my child needs immediate and vital medical attention. I do this with the understanding that every effort will be made to contact me if a medical emergency arises.
Child’s Name__________________________ Date_________
Parent Name__________________________ Home Phone___________
Work phone_____________ Other Emergency Numbers_______________
Parent/Guardian Signature___________________________________
State regulations require that we have this signed consent form on file for each child.
Please list names of adults who may be picking up your child:
Name and relationship
_____________________________________________
_____________________________________________