BASEBALL LEADERSHIP CAMP - 2022
Where: Nutley Parks & Recreation - 44 Park Ave., Nutley, NJ 07110 (Turf Field Behind Tennis Courts)
Dates: (1.) JULY 11-15 (2.) JULY 18-22 (3.) JULY 25-29 (4.) AUG. 1-5
Days / Times: Monday through Friday / 9am-1pm
Who: Players Ages 5-13
Email: [email protected]
Website: coachtomleadership.com
Instagram: coachtomleadership
REGISTRATION FORM 2022 - CIRCLE CAMP DATES
I. JULY 11-15 II. JULY 18-22 III. JULY 25-29 IV. AUG. 1-5
CAMPER NAME:____________________________________ AGE: _______
Circle T-Shirt Size
YOUTH: S M L ADULT: S M L XL
EMAIL:____________________________________________________________________
MEDICAL RESTRICTIONS:_____________________________________________________________
SCHOOL:__________________________________Entering Grade_______
HOME ADDRESS:_____________________________________________
EMERGENCY CONTACT & CELL PHONE NUMBER:
________________________________________________________________
WAIVER 2022: I hereby request that the child named below be admitted to
Division I Sports Camp, LLC, and authorize the directors to act for me according
to their best judgment in any emergency medical situations, other than that provided
by the camp, for which I will pay. I will not hold Division I Sports Camp, LLC,
NJ Baseball Leadership Camp, or any camp representative responsible for any injury
or loss incurred by my child or family.
* MUST SIGN & DATE
X_____________________________________Date__________
COST: $275
Venmo: @Tom-Gargiulo-1
Or Make Checks Payable to:
DIVISION I SPORTS CAMP, LLC
To Mail Registration & Check:
COACH TOM GARGIULO
8 SARGENT ST. #1
NUTLEY, NJ 07110