CAMPER INFORMATION

Name:    ________________________________           Birthdate: ___________________

Address: ________________________________           Grade (entering ’24-’25):______

              ________________________________           Shirt (circle)  Youth:   S   M   L

                                                                                                Adult:   S   M   L

School:   ________________________________

Emergency Contact

Name:            ____________________________________________________

Phone:           ____________________________________________________

Relationship: ____________________________________________________

Email:            ____________________________________________________

CAMP FEES

Multiple campers from the same family qualify for discounts

• BOYS BASEBALL:  $50 individual -- $40 each additional camper [family only]

** PLEASE SUBMIT FEES WITH REGISTRATION FORM**

Redbirds Baseball Camp, 4200 Humbert Rd., Alton, IL  62002

MAKE CHECKS PAYABLE TO:  ACUSD #11

LIABILITY WAIVER

I,the undersigned, intending to be legally bound for myself, my heirs, executors and adminitstrators, waive and release all claims for damages, actions and causes of actions against Alton High School and their affiliates, subsidiaries, officials, representatives, employees, successors and assigns, for any injuries my child suffers while or as a result of attending camp.  In addition, I attest my child possesses medical insurance.  Finally, I grant full permission for the legitimate use of my child’s name, photographs, recordings (audio and video) and other records of this event.

PARENT SIGNATURE_____________________________________________________________________