Mustang Baseball Instructional Camp Registration Form

Camper’s Name: ____________________________________________

Address: __________________________________________________

City: _______________  Phone _____________ (hm) ______________ (cell)

Emergency Contact: _________________________________________

Phone: ______________________ (hm)       ______________________ (cell)

I will be attending Camp : 
1 Ages 7-10  o 
2 Ages 11-14  o  
*Please check one

T-Shirt Size (Adult sizes only)
___ S ___ M ___ L ___ XL ___ XXL         

*ONLY pre-registered campers can be guaranteed their correct T-Shirt size!
*Pre-Registration closes May 30, 2006!

Mail registration and payment of $60.00 to:
Tim Benton
8009 Lonesome Spur Trl
McKinney TX, 75070

*Please make checks payable to Pearce Baseball Booster Club

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*Release of Liability Agreement*

I, and my son/daughter _______________ , wish my son/daughter to participate in the Mustang Baseball camp.  In doing so, we understand and agree to the following; we hereby release, indemnify and hold harmless the Mustang Baseball Camp, its instructors, with respect to any and all injury, disability, death, or loss or damage to person or property incident to my son/daughter’s involvement and/or participation in the Mustang Baseball camp, regardless of circumstances or otherwise, to the fullest extent permitted by law.  I have read this release of liability and fully understand that I have given up certain rights by signing it and, sign it freely.

Parent/Guardian Signature and date: _________________________________