SUMMER CAMP REGISTRATION FORM

Camp(s) # Requested:
Name: 
Address: 
City, State, Zip: 
Phone: 
Age:
School:
Emergency Contact:
Relationship:
Phone:
Email Address:

YES!   I would like to receive the latest news, updates and Newport Gulls information via email.

The above-named youngster is physically fit to participate in the Newport Gulls 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: _____________________________

Please complete, print and mail with your check for $85 to:
Newport Gulls Summer Camps
PO Box 777
Newport, RI 02840