Takin It Yard Baseball Summer Camp
Summer 2022
Email *
Camper's First & Last Name *
Camper's Age *
Session Attending *
Parent's Full Name *
Parent Email *
Parent cell phone number *
Emergency Contact Person *
Emergency Contact Person Cell Number *
Camper's Shirt Size *
Parental Consent (I hereby give permission for my child to attend summer camp at STM. As a parent/guardian, I do hereby authorize the treatment of a qualified and licensed medical doctor in an emergency which, in the opinion of the attending physician, may endanger his/her life cause disfigurements, physical impairment or undue discomfort if delayed. This authority is granted only after a reasonable effort has been made to reach me. I hereby give permission for my child to be photographed and for those photos to be used by the camp for various reasons such as advertising. * *
Camp payment *
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