Camper's Name *

First Name

Last Name

Age Range

8-12 yrs old

13-17 yrs old

Home Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Parent/Guardian Name

First Name

Last Name

Phone

(###)

###

####

CHOOSE ONE SIZE ONLY

First Name

Last Name

Youth Shirt Size

Small

Medium

Large

XL

Adult Shirt Size

Small

Medium

Large

XL

XXL

Waiver

This application is factual and complete to the best of knowledge. I give consent for photographs, images of their likeness, quotes, audiotapes and video recordings of my son/daughter to be used by BallStars Youth Camp for publicity purpose. I also authorize BallStars Youth Camp staff members to communicate program information by methods of Social Media (Facebook, Twitter, etc.), email, phone and/or texting to my child or child for whom I have legal guardianship. BallStars Youth Camp has permission to contact medical authorities in the event of a medical emergency. I waive, indemnify and agree to hold harmless the BallStars Youth Camp, its employees, agents, volunteers, subsidiaries, affiliates from any and all claims, damages, responsibility or injury arising out of or alleged to arise out of program participation.

I Agree