Chisholm Trail Rangers Baseball Summer Camp 2012 @ Chisholm Trail Rangers Baseball Complex 1200 Old Decatur Road Fort Worth, Texas 76179 When: July 9th – 11th. (Mon. – Wed.) Objective: To teach fundamentals in hitting, fielding, throwing, and base running. Session I: Incoming 1st Graders - Incoming 4th Graders (8:00 a.m. – 11:00 a.m.) Session II: Incoming 5th Graders - Incoming 8th Graders (11:30 a.m. – 2:30 p.m.) Session II: Incoming 9th Graders (11:30 a.m. – 3:30 p.m.)

Cost: *Early Registration by June 25th - $60.00 per child *Eagle Mountain I.S.D. Employee by June 25th - $55.00 per child *Chisholm Trail High School Employee by June 25th - $50.00 per child Late Registration (After June 25th or on-site) $70.00 per child – cash only and does not guarantee extras! *Early Registration extras: T-shirt, certificate, and baseball (must be received by June 25th.) Equipment needed: Cleats, tennis shoes, bat, glove, baseball cap, & batting helmet. (Personalize your equipment) Please mail registration form (one per child) and payment to: Chisholm Trail Baseball Camp, c/o Juan Silva 1200 Old Decatur Rd. Fort Worth, TX 76179 (940) 595-3719 *payment must be received by Friday June 25th to receive extra incentives. Checks should be made payable to: Chisholm Trail Ranger Baseball ------cut here------Grade: ______Check T-shirt size: ____YS ____YM ____YL ____AS ____AM ____AL ____AXL Camp Attending (Check One) Session 1______Session 2______Session 3______Name: ______School: ______Address: ______City, State, Zip: ______

Home Phone: ______Work Phone: ______Cell Phone: ______Parent/Guardian: ______(PLEASE PRINT)

As the parent/guardian of ______I release, waive, discharge Chisholm Trial High School, its employees, staff, and administration from any and all liability claims resulting from loss, injuries, illness, and other damage including death which may be sustained by my child during the duration of the Chisholm Trail Baseball Camp. To the best of my knowledge, my child is in good physical condition and I am not aware of any physical infirmity which would place my child at risk while participating in the camp. During the period of the camp, I hereby give permission to the staff of Saginaw High to administer proper medical assistance to my child in the event of accident, illness or injury. I understand that I will be responsible for any and all costs of medical treatment and coverage provided not covered by insurance. I HAVE READ THE WAIVER OF LIABILITY AND FULLY UNDERSTAND ITS TERMS. Parent/Guardian Signature: ______Date: ______

If parents can’t be reached, contact: ______Phone: ______