"KIDS NIGHT OUT" DEVELOPMENTAL BASEBALL CAMP
                                       (Registration Form)



Name: _________________________________________________________

Camper School Grade Currently Attending: ___________________________

Address: _______________________________________________________

              _______________________________________________________

City:  __________________________________________________________ 

State: _______________________       Zip Code: ______________________

Email Address: __________________________________________________

Phone: _________________________________________________________

Emergency Phone: _______________________________________________


Dates of Sessions Attending (Please check all that apply):

 

DATES

 

____ Session 1  - Friday, March 14

 

____ Session 2  - Saturday, April 5

 

____ Session 3 - Saturday, April 12

 

____ All THREE Sessions

Cost is $35 for one session, $60 for two sessions, and $80 for all three sessions.

Mail with payment to:
Jerry Greeley's Kid's Night Out Developmental Baseball Camp
50 Scenic Drive
Blakeslee, PA  18610

*Make Checks Payable to:  Jerry Greeley

King's College
133 North River Street  Wilkes-Barre, PA  18711
1 (888) KINGS PA

Questions or comments to:  Bob Ziadie, King's College Sports Information Director
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