Parent Name

Parent Address (include address, city, state & ZIP)

Parent Phone

Parent Email

Participant #1 Name

Grade just completed

Position

Participant #1 Camp Choices

Tues-Wed, June 28-29: First Camp - $80
Tues-Wed, June 28-29: Additional Camp - $70
Mon-Tues, July 11-12: First Camp - $80
Mon-Tues, July 11-12: Additional Camp - $70

Participant #2 Name

Grade just completed

Position

Participant #2 Camp Choices

Tues-Wed, June 28-29: First Camp - $70
Tues-Wed, June 28-29: Additional Camp - $60
Mon-Tues, July 11-12: First Camp - $70
Mon-Tues, July 11-12: Additional Camp - $60

Participant #3

Grade just completed

Position

Participant #3 Camp Choices

Tues-Wed, June 28-29: First Camp - $70
Tues-Wed, June 28-29: Additional Camp - $60
Mon-Tues, July 11-12: First Camp - $70
Mon-Tues, July 11-12: Additional Camp - $60

Compute camp registration fees from above and click on QR code at bottom of page to submit payment.

Medical Insurance Carrier

Medical Insurance Policy Number

User Agreement

By checking this box, the above-named parent gives their permission allow the named participants to fully be involved in the Danville Dans Baseball Camps. I authorize the staff of the Danville Dans Baseball Camps to act for me in the event of any emergency. I hold harmless the staff of the Danville Dans Baseball Camps for all liability and responsibility for any injury incurred as a result of participation in camp. I understand that I am responsible for primary insurance coverage of my child.