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Saturday, June 25, 2011
                        9:00 am to 3:00 pm
                      Troy High School Baseball Field
                               $40.00
        Includes: training, lunch and a camp t-shirt


Please complete the registration form that follows and send
  to Troy High School, along with your check, no later than
         FRIDAY, JUNE 17, to lock in your reservation.


   (Please make checks payable to James Wernke Foundation)
Please fill out and send to:
                                 Troy High School
                               c/o Tiffany Robinson
                     2200 E. Dorothy Lane, Fullerton, CA 92381

Name of Student: ____________________________________________________________

T-Shirt Size (Circle One):    Youth – S   M   L   XL   Adult – XS   S   M   L   XL

School: _____________________________________________________________________

Grade for 2011-2012 school year: ____________________________________________

Name of Parent or Guardian: _________________________________________________

Home Phone Number: ________________________ Cell: _________________________

Mailing Address: ____________________________________________________________
______________________________________________________________________________

Email: _______________________________________________________________________

Any Health/Injuries we need to know about?
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________

Position(s) they play in baseball: _____________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________

Years of experience (None are needed for camp): ____________________________

I ALLOW MY CHILD TO PLAY BASEBALL AT HIS/HER OWN RISK. ANY TYPE OF INJURY
AS A RESULT OF PLAYING BASEBALL IS STRICTLY UNDER THE INDIVIDUAL’S
RESPONSIBILITY.

______________________________________________________________________________
 (PARENT SIGNATURE)                                        (DATE)

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Jame Wernke Foundation 2011 Baseball Camp

  • 1. Saturday, June 25, 2011 9:00 am to 3:00 pm Troy High School Baseball Field $40.00 Includes: training, lunch and a camp t-shirt Please complete the registration form that follows and send to Troy High School, along with your check, no later than FRIDAY, JUNE 17, to lock in your reservation. (Please make checks payable to James Wernke Foundation)
  • 2. Please fill out and send to: Troy High School c/o Tiffany Robinson 2200 E. Dorothy Lane, Fullerton, CA 92381 Name of Student: ____________________________________________________________ T-Shirt Size (Circle One): Youth – S M L XL Adult – XS S M L XL School: _____________________________________________________________________ Grade for 2011-2012 school year: ____________________________________________ Name of Parent or Guardian: _________________________________________________ Home Phone Number: ________________________ Cell: _________________________ Mailing Address: ____________________________________________________________ ______________________________________________________________________________ Email: _______________________________________________________________________ Any Health/Injuries we need to know about? ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ Position(s) they play in baseball: _____________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ Years of experience (None are needed for camp): ____________________________ I ALLOW MY CHILD TO PLAY BASEBALL AT HIS/HER OWN RISK. ANY TYPE OF INJURY AS A RESULT OF PLAYING BASEBALL IS STRICTLY UNDER THE INDIVIDUAL’S RESPONSIBILITY. ______________________________________________________________________________ (PARENT SIGNATURE) (DATE)