Badger Baseball
Camp
April 14th and 15th
at the Bennington Baseball Complex
or Bennington High School if we have inclement weather
Grades 3-8
Sessions Sat. & Sun.
7th/8th graders 8:30-10:00 am
3rd/4th graders 10:00-11:30am
5th/6th graders 11:30-1:00 pm
Instructions provided by the Bennington High School coaches and varsity players.
Cost - $30
-includes 3 hours of instruction and a camp T-shirt
Name __________________________________________
Address_________________________________________
Phone__________________________________________
Grade _____Name of School________________________
T-shirt size (circle one) Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
The camp will focus on the fundamentals of baseball.
-throwing -catching
-fielding -pitching
-hitting -bunting
-base running -sliding
Turn in your application to the school secretary or
Mail applications to:
Scott Heese
Pine Creek Elementary
7801 HWS Cleveland Blvd.
Bennington, NE 68007
Please make checks payable to BENNINGTON PUBLIC SCHOOLS.
All Applications must be turned in by March 28.
Late applications will be accepted; however, there may not be T-shirts available for these campers.
PARENTAL CONSENT FORM:
PLEASE PROVIDE THE FOLLOWING INFORMATION ABOUT THE BASEBALL CAMPER.
ALLERGIC REACTIONS: _____________________________________________
___________________________________________________________________
PRESENT MEDICATIONS: ___________________________________________
IN CASE OF EMERGENCY:
PARENT OR
GUARDIAN: _______________________________________________________
HOME PHONE: _____________________________________________________
CELL PHONE: _____________________________________________________
OTHER CONTACT: _________________________________________________
IN THE EVENT A PARENT OR GUARDIAN CANNOT BE CONTACTED PLEASE INDICATE ONE OF THE FOLLOWING:
______ I HEREBY CERTIFY THE STAFF OF THE BADGER BASEBALL CAMP HAS FULL AND UNCONDITIONAL AUTHORITY TO PROCEED WITH TREATMENT AS JUDGEMENT INDICATES FOR INJURIES DURING CAMP. THE STAFF OF THE BADGER BASEBALL CAMP SHALL NOT BE HELD RESPONSIBLE FOR ANY CONSEQUENCES RESULTING FROM SUCH INJURIES.
_____ I AUTHORIZE LIMITED CARE AS FOLLOWS: ____________________________________________________________________
I DECLARE THAT I AM THE PARENT/GUARDIAN FOR THE ABOVE MENTIONED MINOR.
NAME: ____________________________________________________________
SIGNATURE:____________________________________________________
DATE:____________________________________________________________
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