Pederson / Camp Registration Form

Please print and fill out the registration form below completely. Return the form along with your payment. Make check payable to “Duluth Huskies Baseball.” For payment by credit card, call the Duluth Huskies office at (218) 786-9909, or online at www.duluthhuskies.com in the “shop” menu. Payment must accompany registration form. Cash handled on day of camp only. Duluth Huskies Baseball Mail form and payment to: PO Box 16231 Duluth, MN 55816 GROUP RATE: 50% OFF for GROUPS Ages: 6 - 14 of 4 or more Time: 9am - 12pm Dates: June 8, July 3, and August 3, 2018

Location: , 101 N. 35th Ave. W, Duluth, MN 3. ______4. ______Cost: $100 per day or $250 for all 3 days

All players will receive a Huskies Camp t-shirt & cap, Huskies Baseball/Softball and a General Admission ticket to a Huskies game! Camps sponsored by: ** Space limited to the first 80 players to sign up **

PLEASE FILL OUT COMPLETELY: Name: Age: 1. ______2. ______Address: City: State: Zip: Youth League: School Attended: Parent/Guardian: Email: Home Phone: ( ) Cell: ( ) T-Shirt Size: (please check one) Youth Small q Youth Medium q Youth Large q Adult Small q Adult Medium q Adult Large q Adult XL q Camp Dates: (please check one) June 8, 2018 ($100) q July 3, 2018 ($100) q August 3, 2018 ($100) q All 3 Dates ($250) q

Method of Payment: Check q Credit Card/phone q Credit Card/online q Cash(day of) q Group Rate Details: 50% discount applies to each member of the group who signs up for same camp/ date/time. Group must submit registrations together.

I, ______the parent/guardian of the above named child, understand the nature of the Pederson Baseball & Softball Camp / Duluth Huskies Baseball & Softball Camp and grant permission for the above named child to participate. I understand that the above named child will be participating in a day camp as indicated above. I understand the Duluth Huskies, RPK Baseball Inc., the , the City of Duluth and Pederson Baseball are not held liable for any injury that may result from the above named child’s participation in the camp.

Signature of parent or guardian ______Date: ______