2007 Winter Baseball Camp
Application and Release

Otero Junior College
McDivitt Center Gym

December 26 thru 28th, 2007
Wednesday thru Friday

2007 Winter Baseball Camp Application and Release Form

INSTRUCTIONS:  Print out this Application and Release Form. Fill out completely and return along with your $40.00 registration fee. You may also bring your registration form and check the first day of camp. Please print legibly!   Be sure to sign the waiver/release.   Make check payable to OJC Baseball Camp.  Mail Application & Check to:

Otero Junior College Baseball Camp
Attn: Chris Carrillo
1802 Colorado Ave.
La Junta, CO 81050

Name:

Parent's Name:

Address:

City:

ST:

ZIP:

Home Phone: (        )

Work Phone: (        )

Adult Shirt Size:    S   M   L   XL

School Attending:

__________________________

Indicate which you prefer:
_____ Session A (6 - 12 years)   
_____ Session B (13 - 18 years)   

Person to contact in case of emergency:

___________________________________________
Phone:

___________________________________________
Insurance:

___________________________________________

Waiver/Release:
I hereby authorize the OJC Baseball Camp Director/Coordinator to act for me according to his best judgment in any emergency requiring medical attention and I hereby waive and release the camp and its employees from any and all liability for any injuries and illness incurred while at camp.

____________________________________________
Parent/Guardian Signature

Make check payable to OJC Baseball Camp