2012 ALLATOONA
BASEBALL CAMP
Dates: 6/4 – 6/7
Time: 9 am – 12pm
Cost: $100.00
Ages: 5-15
The Allatoona Baseball baseball camp is designed to teach the fundamentals of
throwing, fielding and hitting along with positive attitude, hustle and love for the
game. The camp will be run by Head Coach Keith Hansen and his staff along with
former & current players and other Cobb County Coaches. For more information
email keith.hansen@cobbk12.org.
REGISTRATION
Name__________________________________________ Age:_____ Grade:______
Address ____________________________City/State/Zip_______ ____________
Parents/Guardians _____________________________________________________________________________
Phone # ________________________ Alt Phone1#_________________________Alt Phone #2_______________
Email___________________________ __________________________ T-Shirt Size (adult sizes) S M L XL
I hereby request and grant permission to coaches/instructors of the Allatoona baseball clinic to provide reasonable care to my child named above, in the event
of injury or illness during the camp if I am not present. Such care may include, but is not limited to, first aid treatment, transporting to a medical facility or the
summoning of emergency assistance. For and in consideration of allowing my child to participate in the camp, I, the undersigned parent or appointed guardian of
the above child, do hereby agree to indemnify and hold harmless the Buccaneer baseball booster club, its coaches and instructors and Allatoona High School
from any and all liability from the above named child’s activities of any nature with said organization.
Signed __________________________ Relationship____________Date ______
Checks should be made out to:
Buccaneer Dugout Club
Return this application to:
Allatoona High School c/o Keith Hansen Head Baseball Coach
1013 Marina Trace Drive
Acworth, GA 30101
Or drop off at Allatoona High School c/o Keith Hansen
