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Coach Tom Gargiulo
Baseball Camp
Registration
YOUTH BASEBALL LEADERSHIP CAMP
SUMMER 2024
WHO
PLAYERS AGES
6 to 13
WHEN
Monday to Friday
9am - 1pm
WHERE
Nutley Parks & Recreation
44 Park Ave.,
Nutley, NJ 07110
DIRECTOR
WEBSITE
Coach Tom Gargiulo
coachtomleadership
TO REGISTER CHECK DATES BELOW
CAMPER NAME
T-SHIRT
MEDICAL RESTRICTIONS
SCHOOL
ENTERING GRADE
HOME ADDRESS
WAIVER 2024
I hereby request that the child named below be admitted to the Division I Sports Camp, LLC / NJ Youth Baseball Leadership Camp, 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 or any camp representative responsible for any injury or loss incurred by my child or family. Typing or signing your name indicates acceptance of this waiver.
SIGNATURE REQUIRED
ENTER NAME
TODAY'S DATE
EMERGENCY CONTACT
CELL PHONE
COST - $300
PAYMENT METHODS
VENMO @Tom-Gargiulo-1
MAKE CHECKS PAYABLE TO
Division 1 Sports Camp, LLC
MAILING ADDRESS
Coach Tom Gargiulo
8 Sargent St. #1
Nutley, NJ 07110
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