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