CLAYTON RICHARD WINTER PITCHING CAMP CLAYTON RICHARD will once again conduct a pitching camp for those pitchers who are interested in making themselves better over the Winter Vacation. Along with Clayton will be Coach Bret Shambaugh, Nick Wittgren of the Miami Marlins, and Brandon Flora former pitcher for Indiana State University. The camp will be held in the McCutcheon HS auxiliary gymnasium on the following dates: Monday December 30 Tuesday December 31 Wednesday January 1 Thursday January 2 12U will be held from 1:00-2:30 with the first fifteen minutes for throwing warm up 16U will be held from 2:30-4:00 with the first fifteen minutes for throwing warm up. The cost of the 4 day camp is $75 and checks should be made payable to McCutcheon Summer Baseball Club. Please return this form completed by mail if you are interested as space is limited. The registration fee is due by December 27th to Coach Burton. Mail the completed registration form and the check to McCutcheon High School, c/o Jake Burton, 4951 U.S. 231 South, Lafayette, Indiana, 47909. Name:_____________________________________ Telephone: _________________ Birthdate:___________________________________________ Age:______ Height:_______Weight:______ Name of Father:____________________________________________ email address: _____________________________________________ Name of Mother:___________________________________________ email address:______________________________________________ Emergency Telephone:________________________________ (during camp hours) School:__________________________________________ Grade :______________ If needed I can switch the session I am assigned (only to balance groups): YES NO (circle one) I, ___________________________________________, do hereby give written permission for my son_________________________________________ to attend the CLAYTON RICHARD WINTER VACATION PITCHING CAMP. All risks attendant to participating in the camp, including but not limited to bodily injury are assumed by me as his Parent or Legal Guardian as indicated by the signature hereto. Should an emergency arise requiring an ambulance service I hereby give my permission for Jake Burton or his designee to contact ___________________________________ Hospital as deemed necessary by the situation. Our insurance coverage is through ________________________________________. SIGNATURE:________________________________________DATE:______________ THIS FORM IS DUE BY DECEMBER 27, 2013.
Posted on: Wed, 04 Dec 2013 22:35:28 +0000