Camp Registration Form – please fill out and return to TSB

Name:____________________________ Age:_______ Shirt Size:___________

Address:_________________________ Bat/Throw:________ Position:__________

Phone Number:____________________ Emergency Number:_____________________

Email:____________________________ Youth Baseball League:___________________

Insurance Company:_________________ Policy #:______________________________

Group #:__________________________ ID#:_________________________________

Policy Holder:______________________ Medications/Allergies:____________________

Baseball Camp Schedule: (check camp(s) attending)

C.B. West June 23 - June 27               

PRICIING:
Cost: $185.00 per player,   2 siblings $325.00, 3 or more family members same week $485.00

No refund 30 days prior to camp. No refunds for rain days.
*Make checks payable to: Total Skills Baseball
Mail to: 1423 Ferry Rd. Doylestown, PA. 18901
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Liability / Release
I, the undersigned, individual and as a parent/guardian of____________________, a minor, ask that he/she be admitted to participate in the sports camp with Total Skills Baseball. I understand that all participants must have insurance coverage for any injury or sickness while attending the camp. I do hereby agree to waive and release, discharge and hold harmless the entire Total Skills Baseball Staff, the facility, agents and sponsors of and from all causes, liabilities, damages, claims or demands whatsoever on account of any injury or illness incurred involving the said minor arising out of the minor’s attendance at the sports camp or while enroute, or in the course of competition and/or activities held with the camp. I hereby give Total Skills Baseball my permission or emergency consent for medical treatment in the event I cannot be reached. I also give my permission for the minor said above photograph or name appears in any publicity material.

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Parent/guardian signature Date