2012 Registration

Boston Baseball Camp
Post Office. Box 365453
Hyde Park, MA 02136
(617) 680-1781

Boston Baseball Camp is now accepting applications for the 2012 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 11th.
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 2012 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 9-13________________

2) July 16-20________________

3) July 23-27________________

4) July 30- August 3_________________

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.
                                   
----------------------------------------------------------------------------------------------------------------

----------------------------------------------------------------------------------------------------------------

----------------------------------------------------------------------------------------------------------------

----------------------------------------------------------------------------------------------------------------

----------------------------------------------------------------------------------------------------------------

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.
----------------------------------------------------------------------------------------------------------------
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

_____________________________________________

_____________________________________________