APPLICATION FORM  TOM HICKS BASEBALL CAMPS, LLC
(For Long Beach 2017 Summer Baseball Camp)

All applications processed on a first come/first serve basis and must be postmarked by
June 1, 2017, to receive any of our discount prices (i.e., Early Bird Discount and/or Multiple Week Discount Packages).  A minimum $50.00 non-refundable / non-transferable deposit per child / per session will reserve your camper(s) a spot in camp.


Child's Name:_________________________________________________    Age:___________

Address:________________________________________City/Zip:_______________________

What league does your child participate in, if any?____________________________________

What level does your child play at?___________________________

What session(s) would you like? (Please check the following:)

_______ Ses. #1 (June 26-30)    _______  Ses. #4 (July 24-28)

_______ Ses. #2 (July 10-14)      _______ Ses. #5 (July 31-August 4)

_______ Ses. #3 (July 17-21)

Do you want the Extended Hours (Hitting Instruction)? ____ Yes ____ No

I hereby authorize the staff of Tom Hicks Baseball Camps to act on my behalf according to their reasonable judgment in any emergency requiring medical attention for my child.  I understand that efforts will be made to contact me, but that medical treatment will not be withheld if I cannot be reached.  I hereby waive any and all claims against and release the camp, and all persons involved in conducting the camp, from any and all liability for any injury or illness which may occur while my child is participating in the camp.  I agree to indemnify and hold free and harmless all persons involved with conducting the camp against all claims arising out of my child's participation in the camp.  I have no knowledge of any physical impairment that would be affected by my child's participation in the camp program.  I authorize Tom Hicks Baseball Camps to take camp photos of my child for camp advertising and publicity purposes.


_________________________________     ___________________________________     _____________ 
Child's Name                                                  Parent or Guardian Signature   Date

Phone (#1):_______________________(#2):________________________(#3):_______________________


E-mail Address:_______________________________________________________


Make Check Payable to:TOM HICKS BASEBALL CAMPS, LLC

Mail completed applications to:
Tom Hicks Baseball Camps, LLC
P.O. Box 15963
Long Beach, CA 90815-0963
(562) 425-2446

http://TomHicks.homestead.com