July 7-11 ______ July 14-18 ______

Address ____________________________________________

City____________________ State _____ Zip Code _________

Phone (Home) __________________  (Emergency) _______________________

Age ________ Grade Last Completed _____ School ________________________

E-Mail Address ______________________________________________________

Please register before June 1 to reserve your spot and to receive a discount.

• One week $170
  Two weeks $310
• Two players (brothers) for 1 week $310

After June 1, the price will be $190/week.

MAKE ALL CHECKS PAYABLE TO:  Gregory Young

I, the undersigned, individually and as parent(s) and guardians of _________________________________ a minor, ask that he be admitted to this baseball camp. In consideration of such admission, I do hereby agree to release, discharge and hold harmless, Triple Crown Baseball LLC., its officers, agents, and employees of and from all causes, liabilities, damages, claims, or demands whatsoever on account of any injury or accident involving said minor arising out of the minors attendance to this baseball camp.

 Parent's/Guardian's Signature :

____________________________________________________________