Youth Baseball Camps
Please complete, clip and mail with your check to:
The Vermont Mountaineers Summer Camps
Montpelier Recreation Department
55 Barre Street
Montpelier, VT 05602
Camp(s) # Requested
Name
Address
City
State
Postal Code
Phone
-
-
Age
School
Grade Entering
Emergency Contact
Contact Relationship
Contact Phone
-
-
The above-named youngster is physically fit to participate in the Vermont Mountaineers Summer Youth Baseball Camp. I hereby authorize the camp staff and directors to act according to their best judgment in any emergency.
Signature
_____________________________
Name Printed
_____________________________
Our Employer ID# is 06-1393688