2007 FALL BASEBALL CAMPS
@ Lake City Community College

The 2007 Fall Baseball Camps at LCCC promise to provide young players with a great opportunity to have fun while learning and improving their hitting skills and position skills. Head baseball Coach Tom Clark, along with will Max Semler, Kansas City Royals Scout will coordinate all instruction along with the LCCC coaching staff. Hitting camp includes video taping on Day 1 and video analysis on Day 2.

Hitting Camp (2 day) Position Camp Including Pitchers (2 day)
TIME: 9:00 – 1:00 Time 2:00-4:30
AGES: 12- 18 AGES: 12 – 18
Date: Dec. 8, 15 Date: Dec. 8, 15
COST: $100.00 COST: $50.

WHAT TO BRING: Bat, Glove, Cleats, tennis shoes, Water Bottle

MAKE CHECK PAYABLE TO: TOM CLARK SPORTS CAMPS, LLC.
MAIL TO: TOM CLARK SPORTS CAMPS, LLC
2109 W US HWY 90-PMB 186
LAKE CITY, FL 32055

NEED MORE INFORMATION? Call 386-754-4363 or 386-961-8208 or e-mail clarkt@lakecitycc.edu

CAMPS WILL BE LIMITED TO 50 PLAYERS. ADVANCED REGISTRATION RECOMMENDED
__________________________________________________________________________________________

REGISTRATION FORM
(**All Information MUST BE COMPLETED, INCLUDING INSURANCE INFORMATION and medical consent)

Hitting Camp___________ Position Player Camp_______ Amount Enclosed__________

Name: __________________________________ Address: __________________________________________________________
City: _________________________ State: _______ Zip: ____________School: ________________________________________
Email_______________________________________________________¬¬__________
Age: _______ Grade in 2007-08 school year: _______ Graduation year: _______
Parent/Guardian Names: __________________________________ Daytime Phone(s) ___________________________________
Emergency Phone: _______________________________ Who: _______________________________________________________
ALLERGIES: ___________________________________________________________________________________________________
Insurance Info. (Required): Policy Holder: ________________________ Provider: _____________________________________
Policy Number: ______________________________ Plan Number: ____________________________ Other: ________________
MEDICAL CONSENT: (for parent’s signature) I hereby authorize the physicians, nurse practitioners, physician’s assistants and staff members of the Baseball Hitting Camp to treat my son/daughter if deemed necessary and to release information to other college and medical officials as necessary in the case of an emergency.

Parent / Guardian’s signature: ____________________________________________ Date: ______________

*** IT IS REQUIRED FOR ALL INFORMATION TO BE COMPLETED ***