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HOW TO REGISTER
Online: Go to www.21csonline.com and visit “Player Programs Summer Camp Registration”. Select " Danbury Westerners Baseball Camp”. Mail: Complete the form below (please fill out one form per camper). You will receive an e-mail confirming your registration within 21 days after receiving your materials. Mail form & payment to: Danbury Westerners Baseball Club, PO Box 3828, Danbury, CT 06813. Make checks payable to: 21st Century Sports, c/o Danbury Westerners. QUESTIONS? Go to www.21csonline.com or www.danburywesterners.com. Or, call Camp Director Bill Consiglio at (914) 980-2156. PLEASE DETACH ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------PLEASE DETACH
REGISTRATION FORM Player Name Address City/State/Zip Phone(s) Grade (Fall 2011) Parent/Guardian Name & Primary E-Mail Address (for e-mail confirmation purposes) Emergency Contact/Relationship (someone other than primary guardian) Emergency Contact Phone(s) Special Medical/Conditions (please specify) T-Shirt Size (please circle one - allow for typical cotton shrinkage) YS YM YL YXL/AS AM AL AXL I submit that my child is physically fit to participate in all camp-related activities and recognize there are risks inherent in sport and baseball-related activities for which I assume personal liability and hold harmless all parties involved. I recognize that I am completely responsible for all payments involving medical expenses and hereby authorize camp staff members to act accordingly to their best judgment in any situation requiring emergency medical attention. I acknowledge that all photos/videos taken by camp administrators remain the property of 21st Century Sports and the Danbury Westerners. SIGN/DATE BELOW Parent/Guardian Signature: Date: |
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