Sal Agostinelli's 2018 ELITE BASEBALL TRAINING SUMMER CAMP
AN INTENSE TRAINING EXPERIENCE
Online Registration
Child's First Name
Last Name
Home Address  
City, State, Zip
Home Phone
Work Phone
Work Phone - indicate Mom or Dad
Cell Phone
Cell Phone - indicate Mom or Dad
Cell Phone 2
Cell Phone 2 - indicate Mom or Dad
Date of Birth
Age
Any known allergies
Emergency Contact # / Relationship to child
Parents' names
Email
Credit Card #
Expiration Date (mm/yy)
Card Type: Visa  MasterCard American Express Discover
Card security code
Billing Address (if different than home address)  
Billing City, State, Zip
Camp Sessions - Select at least one
$225 June 25 - June 28, 2018 (Monday-Thursday 9:00am - 1:00pm) drop off by 8:45 AM
     Rain Date (if needed) - Friday June 29th
$225 July 2 - July 6 2018 (Monday-Friday 9:00am - 1:00pm) drop off by 8:45 AM, no 4th
     Rain Date (if needed) - Monday July 9th
Terms and Conditions

Sal Agostinelli MLB Camps / KPCSD / KPY are not held liable for any lost, stolen or damaged equipment or personal belongings. Also, by checking this box, I do hereby release, remise any claims and forever discharge and hold harmless SAL AGOSTINELLI MLB CAMP, KINGS PARK CSD and KINGS PARK YOUTH, its successors, assigns, administrators, employees and agents from any and all liability and all manner of action and actions, causes of action, suits, sums of money, accident, incident, illness or death to me or my person while participating in ANY activity during camp for June/July 2018.

BY CHECKING THIS AGREEMENT AND SUBMITTING THIS FORM, I DO HEREBY RELEASE SAL AGOSTINELLI, SAL AGOSTINELLI MLB CAMP, KINGS PARK CSD AND KINGS PARK YOUTH FROM ANY AND ALL LIABILITIES AND COSTS.

I agree to the above terms and conditions
TOTAL CHARGES:
0.00

Questions:  salsbaseball@gmail.com or 631 979-0528

Click to Print This Page