2019 SDSU Spring Break Youth Camp South Dakota State University Registration Form Spring Break Youth Baseball Camp Name: ______Where: Erv Heuther Field – Located on the Campus of SDSU Baseball Highlights Parent / Guardian: ______South Dakota State University nd Home Address: ______o 2017 MLB Draftee, Luke Ringhofer (22 Round, 668 Overall, When: Spring Break Youth Baseball Camp Baltimore Orioles) City: ______State: ______Zip: ______Monday, April 22nd o 2015 MLB Draftees, Zach Coppola (13th Round, 384 Overall, Phone #: ______DOB: ____/_____/______1 PM - 5 PM Philadelphia Phillies) & Adam Bray (33rd Round, 1,002

Email: ______Overall, ) Who: Grades K-6 o 2013 MLB Draftee, Layne Somsen (22nd Round, 675 Overall, Current School: ______Cincinnati Reds) MLB Debut May 14th, 2016 Primary Position: ____ Secondary Position: ____ Bat/Throw: __/__ Cost: $75 for early registration (must be registered by o 2013 Summit League Tournament Champions and Regional Friday, April 19th) T-Shirt Size: _____ (Register by 4/5 for guaranteed shirt size) Tournament Appearance th o 2011 MLB Draftee, (7 Round, 226 Overall, $150 for registration day of the camp Oakland Athletics) MLB Debut April 12th, 2014 Spring Break Youth Baseball Camp All prices have included a 8% sales tax th o 2009 MLB Draftee, (18 Round, 556 Overall,

th - nd th Minnesota Twins) MLB Debut May 20 , 2013 Monday, April 22 (Contingency Date: May 6 , 5 PM - 8:00 PM) Spring Break Youth Baseball Camp: This is the second annual South Dakota State University Spring Break Youth Baseball Camp. Geared toward

- nd teaching the fundamentals of the game, it will include instruction on hitting, Includes: Camp T-Shirt and 2 Annual “Run fielding, throwing, base running, etc. Led by the SDSU coaching staff and players, th with the Jacks” on Saturday, May 4 v. Fort this is an instructional camp with the goal of providing each player with top-notch

Wayne (Two tickets per camper included) instruction and feedback for their own personal improvement.

*Equipment Needed: Baseball pants, hat, shoes, helmet, bat, glove

I would like to take the opportunity to personally invite you to the How do I sign up? Release Form SDSU Baseball Spring Break Youth Camp. This camp will give you You may register online at baseball.jackrabbitsportscamps.com and pay with a credit card. Click on the Register Online tab on the left hand side of the page. an opportunity to showcase your talents and receive instructions from In consideration of the acceptance of this application, I, intending to be legally bound for myself, my heirs, executors, administrators, waive and release any and all rights SDSU coaches. You may also fill out the registration form completely. Return form along with and claims for damages I may have against South Dakota State University, or its payment to the follow address. Make check payable to SDSU Baseball. Camp is representatives and/or assignees for any and all damages which may be sustained and Rob Bishop open to any and all entrants limited only by number, age, grade level and/or gender. suffered out of my traveling to, participating in, and returning from camp. SDSU Head Baseball Coach / Camp Director SDSU Baseball Camps South Dakota State University Bio: Over 500 career wins & 20 years of coaching experience; 18 years ______1165 Jackrabbit Ave as a head coach: Huron University, Miles City Community College, Participant Signature (required) Date Brookings, SD 57006 Montana State University-Billings, and South Dakota State University OR, you may bring the completed application form and payment with you on the ______day of the camp, at the walk-up camp cost of $150 per session. Parent/Guardian Signature (required) Date FOR MORE INFORMATION, CONTACT: There will be no refunds given. Danny Higginbotham- Assistant Baseball Coach Medical Insurance Company: [email protected] - (817) 875-0966 Confirmation Email A confirmation email will be sent to you when your registration form and deposit Policy # and Group #: ______are received. This email will include detailed information concerning check-in

times, items to bring, directions, and a medical form. If a camper will require any accommodations due to special needs, we ask that you notify us via e-mail or in writing of those needs a minimum of two weeks prior to the camp start date so we can make the accommodations.

Office Use Only: Check #______Date Rec’d ______Amt. Paid $______