http://jameswernkefoundation.org/
Download the registration form and send with check for $30 to Troy High School to register for the Smile of a Champion Youth Baseball Camp (ages 8 to 13).
2. _______________________________________________________________________________
REGISTRATION FORM
PLEASE FILL OUT AND SEND TO:
Troy High School
c/o Tiffany Robinson
2200 East Dorothy Lane, Fullerton, CA 92381
Name of Student:__________________________________________________________________
T-Shirt Size (Circle one): Adult: XS S M L XL
School:_________________________________________________________________________
Grade for 2012-13 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 played 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 RE-
SULT OF PLAYING BASEBALL IS STRICTLY UNDER THE INDIVIDUAL’S RESPONSIBILITY.
_______________________________________________________________________________
(GUARDIAN SIGNATURE) (DATE)