Application            
Name:
Email:
Address:
City:
State and
Zip:
Camp
Date of
Birth
Age
Emergency Telephone
Number
Please enroll the above.  I understand and accept the condition that neither the University of Massachusetts
Dartmouth/Fall River School Department nor anyone associated with the Bay State  Baseball Camp will assume
any responsibility for accidents and medical or dental expenses incurred as a result of participation in the
physical activity of a vigorous program.  In the event of injury or illness the Bay State Baseball Camp has my
permission to provide medical care.


Parent Signature:                                                                                        Date:
Please mail the application to:

Bay State Baseball Camp
50 Williamson Drive
Somerset, MA 02726
Additional Information Link
Bay State
Baseball Camp