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: _______

Camper T-Shirt Size / Circle One

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: 

Before June 15th:  $250

After June 15th:          $275

After July 1st:             $300

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