Registration

Player Full Name*

Player Date of Birth*

Player Age Group*

Player Level*

Primary Position*

Secondary Position*

Parent Full Name:*

Address:*

City:*

State:*

Zip Code:*

Parent E-mail:*

Valid e-mail is required

Parent Primary Phone:*

Parent Secondary Phone*

Coach`s Full Name

Coach`s E-mail

Coach`s Phone

Health Concerns*

Comments

Medication(s)

Camp Location*

Payment (PayPal or Check)

***PURCHASE NOW & SAVE - RATE AFTER 5/15/2015 WILL INCREASE TO 
$400 PER PLAYER, $4000 PER TEAM, & $125 EACH FOR OPTIONAL EARLY DROP-OFF & LATE PICK-UP***

Baseball - PLAYER

Baseball - PLAYER

Baseball - TEAM

Baseball - TEAM

Softball - PLAYER

Softball - PLAYER

Softball - TEAM

Softball - TEAM

OPTIONAL - Early DropOff (7:30AM-8:30AM)

OPTIONAL - Late PickUp (3:00PM-4:00PM)

Grand Total:

***WE PROCESS ALL CREDIT CARD TRANSACTIONS THROUGH PAYPAL. IF YOU REQUIRE ANOTHER FORM OF PAYMENT, PLEASE CONTACT US. FULL PAYMENT IS DUE 14 DAYS BEFORE CAMP START DATE. FAILURE TO PAY IN FULL WILL RESULT IN FORFEITING DEPOSIT. IF ALTERNATE ARRANGEMENTS ARE NEEDED, PLEASE CONTACT US. THANK YOU.***

PAY BY CHECK

IF YOU WOULD LIKE TO PAY BY CHECK: 
PLEASE SEND CHECK TO
368 New Hempstead Rd.#306
New City, NY 10956
MAKE CHECKS PAYABLE TO:
CBSA TOURNAMENT SPORTS CAMP

IF YOU HAVE ANY QUESTIONS PLEASE CONTACT US AT:
ClementeSports@aol.com
845-323-4951

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