SG LEGION BB

Christmas Break Camp

DECEMBER 29TH, 30TH, 31ST
STE. GENEVIEVE COMMUNITY CENTER

AGES 7-9 NOON TO 1PM

AGES 10-11 1PM TO 2PM

AGES 11-12 2PM TO 3PM

AGES 13-14 3PM TO 4PM

*TIMES MAY CHANGE IN ORDER TO KEEP A GOOD WORKING NUMBER IN EACH GROUP!

COST $50
MAKE CHECKS PAYABLE TO STEVE BIESER

REGISTRATION FORM

NAME: _________________________YR. IN SCHOOL ______ POSITION_______

ADDRESS_____________________________CITY____________________________

ZIP_______________PHONE_____________________CELL______________________

EMAIL_____________________________SCHOOL_____________________________

In consideration of______________________(Child’s name) admission into the CHRISTMAS BREAK CAMP and the mutual promises made herein, we, the parents of_____________
do, for themselves, their heir’s executor’s and successor’s, assign’s, and agent’s, from any and all claims, demands, actions, suits, damages, fees, costs, and other obligations or liabilities of any kind, whether now known or unknown prior to this date until the end of time, relating to any and all losses, injuries and other damages incurred by Parent’s or Child, now known or unknown, in respect to or in anyway related to the Child’s participation in the WORKOUT, or any claims which are or could have been complained of under any federal, state, or local law, statute, ordinances, regulations or order.

DATED: ______________

PARENT/GUARDIAN SIGNATURE: _______________________________________

REGISTRATION FORM MUST BE RECEIVED BY TUESDAY, DECEMBER 23RD

*LATE REGISTRATIONS WILL BE ACCEPTED DAY OF CAMP AS LONG AS THERE IS STILL ROOM IN THE AGE GROUP. A $5 LATE CHARGE WILL BE ASSESSED. TO CHECK FOR AVAILABILITY CONTACT STEVE AT SBIESER@VIANNEY.COM

MAIL WITH PAYMENT TO:
STE. GEN. BASEBALL
STEVE BIESER
11770 ROYAL OAK CT.
STE. GENEVIEVE, MO. 63670