PLEASE FILL IN AS COMPLETELY AS POSSIBLE.

SELECT CAMP DETAILS:     (Choose all that apply:)

Camp Date: —Please choose an option—Nov 27 - Nov 27 (M-W) - Thanksgiving - All Sport or Baseball or SoftballDec 30 – Dec 31 (M-T) – End of Year – All SportJan 2 – Jan 3 (Th-F) – New Years – All SportJan 6 – Jan 7 (M-T) – Winter – All Sport (not for RISD)Jan 20 - Jan 21 (M-T) – MLK Day – All SportsFeb 17 (M) – Game Day – All SportsMar 9 - 13 (M-F) – Spring Break 1 – All Sport (GISD & MISD)Mar 16 – Mar 20 (M-F) – Spring Break 2 – All Sport (RISD, DISD, & Catholic)Apr 10 (F) – Easter 1 – All SportApr 13 (M) – Easter 2 – All SportMay 25 – May 29 (M-F) – Summer 01 – All Sports or Baseball or SoftballJun 1 – Jun 5 (M-F) – Summer 02 – All SportsJun 8 – Jun 12 (M-F) – Summer 03 – All Sports or Baseball or SoftballJun 15 – Jun 19 (M-F) – Summer 04 – All SportsJun 22 – Jun 26 (M-F) – Summer 05 – All SportJun 29 – Jul 2 (M-Th) – Summer 06 – All SportJul 6 – Jul 10 (M-F) – Summer 07 – All SportsJul 13 – Jul 17 (M-F) – Summer 08 – All SportsJul 20 – Jul 24 (M-F) – Summer 09 – All SportsJul 27 – Jul 31 (M-F) – Summer 10 – All SportsAug 3 – Aug 7 (M-F) – Summer 11 – All SportsAug 10 – Aug 14 (M-F) – Summer 12 – All SportsAug 17 – Aug 18 (M-T) – Summer 13 – All Sports    Camp Type: —Please choose an option—All SportsBaseballSoftball Total Days: —Please choose an option—1 Day2 Days3 Days4 Days5 Days

Days Attending: Mo   —Please choose an option—All Day9am-12pm1pm-4pm,   Tu   —Please choose an option—All Day9am-12pm1pm-4pm,   We   —Please choose an option—All Day9am-12pm1pm-4pm,

Th   —Please choose an option—All Day9am-12pm1pm-4pm,   Fr   —Please choose an option—All Day9am-12pm1pm-4pm        

FEE:    (A) Full Days    —Please choose an option—0 Days = $01 Day = $802 Days = $1603 Days = $2404 Days = $3205 Days = $400   +    (B) Half Days    —Please choose an option—0 Half Days = $01 Half Day = $502 Half Days = $1003 Half Days = $1504 Half Days = $2005 Half Days = $250    =    (C) Total (A+B):

FRIEND DISCOUNT:   Bringing or attending with a friend? YesNo   If Yes, provide friend's name:

Be sure to pay this by using PAYPAL  or  VENMO, listing Camp Name, Date, & Camper's Name after you have completed the registration.

PLAYER INFORMATION

Full Name:    Gender: —Please choose an option—MaleFemale     Age:    DOB (M/D/Y): —Please choose an option—123456789101112 / —Please choose an option—123345678910111213141516171819202122232425262728293031 / —Please choose an option—2013201220112010200920082007200620052004200320022001

Grade: —Please choose an option—K1st2nd3rd4th5th6th7th8th    School:

PARENT/GUARDIAN 1 INFORMATION     (Must be 18 or older)

—Please choose an option—FatherMotherGrandfatherGrandmotherUncleAuntGuardian    Gender: —Please choose an option—MaleFemale    Age:    Date of Birth:

Full Name:    Email:

Home Phone:    Mobile Phone:    Work Phone:

Street Address:    City:    State: TXALAKAZARCACOCTDEFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWY    Zip:

EMERGENCY INFORMATION     (Must be 18 or older)

Full Name:    Relation:    Email:

Home Phone:    Mobile Phone:    Work Phone:

Are there any special needs or requirements or anything else you'd like us to know?

How did you learn about us?

INSURANCE & LIABILITY INFORMATION     (Must agree in order to register.)
All coaches, parents and parents of players must provide at own expense any insurance deemed necessary. NEXT LEVEL SPORTS GROUP (NLSG) DOES NOT PROVIDE ANY PERSONAL INJURY OR LIABILITY INSURANCE WHATSOEVER. I waive and release NLSG and any other facility used for the clinics, schools or camps from any injury or illness incurred while attending any NLSG clinics, schools or camps, as well as personal, group or team trainings. I hereby give my permission to allow NLSG coaches or staff to administer emergency medical treatment in the event that I cannot be reached.

I HAVE READ AND AGREE TO THE TERMS, CONDITIONS AND COVENANT WITHIN IT, INCLUDING BUT NOT LIMITING TO THE MINOR RELEASE AND THE WAIVER OF LIABILITY:  RELEASE & AGREEMENT

Agreed to by (your full name): Email: