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JCC Member:
Yes
No
Parent Name:
Place of Employment:
Child's Name:
Age:
Birth Date:
School:
Address:
City:
State:
Zip:
Telephone:
Email:
Emergency Contact:
Emergency Phone:
Comments:
Volunteer Info (Little League Only)
A Little League team is staffed exclusively by volunteers interested in providing the benefits of a Little League program
to the youth of their community. So, we need your help. Please check any of the volunteer positions below that you would be interested in:
Manager:
Coach:
Team Parent:
Sponsor:
Scorekeeper:
Canteen (Concession Card)
If you would like to purchase a canteen (concession card), check the box below and select the amount:
Yes, I would like to purchase a canteen:
Amount:
2010 Summer Camp
June 7 - August 27
Free pre
and post camp supervision, 7:30AM -
6:00PM
Full Day Camp includes swimming, field
trips, team sports, lunch and snack.
Half Day,
Members-$100, Non-members-$140
Full Day, Members-$190, Non-members-$210
I
hereby voluntarily submit my child's/my
application for attendance and participation in
Danny Berry's JCC Baseball League and assume
full responsibility for any and all damages,
injuries, or losses that my child/I may sustain
or occur while attending or participating, and
hereby waive all claims against the Dave and
Mary Alper JCC or anyone associated with this
event.
