CBLA Baseball Camp Sign Up

CALIFORNIA BIG LEAGUE ACADEMY

2012 R E G I S T R A T I O N

CAMP CHECK IN: Check-in 30 minutes early, first day; 15 minutes early on subsequent days.

Campers must bring their own baseball gear including gloves, bats, helmet, running shoes or cleats and boys wear athletic cup. Catchers must bring their own catching gear.

APPLICATION First Name

Last Name

Date of Birth Address/Apt. #

Middle Initial Grade completed as of June 2012

City

State/Zip

E-mail

Home Phone (include area code) Legal Guardian Cell (include area code)

Bats ( R / L / S )

Throwing ( R / L )

Mail this application with $100 deposit or payment-in-full; reserve place at camp(s). You will be mailed a REGISTRATION PACKET, which must be returned two (2) weeks prior to camp, with the camp balance due.

Years of Experience

Player’s Level: £Beginner £Intermediate £Advanced Desire to switch hit? £YES £NO Does player pitch? £YES £NO Does player catch? £YES £NO Scholarship needs? £YES £NO TOP 2 Main Positions played 1._________________ 2. _________________ Camp T-shirt size (circle size): Youth: S - M - L Adult: S - M - L - XL - XXL DISCOUNTS for multiple camps (12% off 2nd camp / 25% off 3rd camp), siblings (12% off 2nd child 25% off 3rd Child), and military families (20% off). For more information e-mail ddy.foundation@gmail.com or call 805-603-5778.

MEDICAL RELEASE FORM

Players Name Medical Condition staff must be aware of.

Known Allergies

Insurance Carrier Policy Number *I hereby authorize any medical treatment which may be advised or recommended by the attending clinic sports trainers or camp nurse.

PRINT LEGAL GUARDIANS NAME

www.dameathook.com/register/ or call 805.603.5778

9:00 AM - 2:00 PM CAMP CHECK IN: Check

in open 15 minutes prior to scheduled camp. Campers must bring their own baseball gear including gloves, bats, helmet, running shoes or cleats and athletic cup. Catchers must bring their own gear.

All camps include Lunch, Camp T-shirt and other Fun Incentives throughout all three days. www.dameathook.com Twitter@DaMeathookYoung See Us On Facebook: California Big League Academy

LEGAL GUARDIANS SIGNATURE It is understood that accidental injury could result from camp participation. I hereby release California Big League Academy, Sportswest Training, Elite Nine and the Dmitri D. Young Foundation, including administrators and instructors from any and all claims, liability, loss, cost and damage which could arise from my child’s participation in any California Big League Academy 2012 Summer Camps.

LEGAL GUARDIANS SIGNATURE

www.CaliforniaBigLeagueAcademy.com

A project of the Dmitri D. Young Foundation • ddy.foundation@gmail.com

805.603.5778 • Post Office Box 526, Camarillo, CA 93011-0526

california

BiG LEAGUE

ac ad e m y

*

2012 S C H E D U L E 9:00 AM ~ 2:00 PM

Lunch, Camp T-Shirt and Other Fun Incentives Included Throughout All 3 Days.

Big League Camp 10 and up.

Baseball Fundamentals/ Performance Evaluation.

ABCs of biomechanics, conditioning, pitching, and confidence building. Station training to improve basic throwing, hitting, ground balls, base running, catching fly balls, and other fielding skills.

June 26, 27, 28* • Bob Kildee Community Park, $275.................. 5 July 31, August 1, 2 • Bob Kildee Community Park $275 ......... 5

The Big League Way 10 and up.

Healthy Biomechanics of pitching, hitting, catching. Building on Big League Camp, skills are refined with additional focus on teamwork, respect, sportsmanship and healthy habits.

July 17, 18, 19 • Bob Kildee Community Park, $275..................... 5 August 21, 22, 23 • Bob Kildee Community Park, $275.............. 5

Rookie Ball Summer Camp 7-10.

Camp fun with Baseball Skills integrated; Motivate to Move.

Agility Conditioning, drills, baseball skills taught in small groups with periods for individual instruction. Will focus on baseball as team sport, respect for one another and healthy habits. Fun activities encouraging your rookie to move, play and hydrate.

June 26, 27, 28 • Bob Kildee Community Park, $275................... 5 July 10, 11, 12 • Mission Oaks Park, $275.................................... 5 July 31, August 1, 2 • Bob Kildee Community Park, $275......... 5 August 7, 8, 9 • Mission Oaks Park, $275................................... 5

Little Big Leaguer Camp Motivate to Move The Big League Way.

7-10.

Advanced Drills, emphasis on baseball skills taught in small groups with periods for individualized instruction. Fun activities specially designed to get your rookie to move and build playing endurance.

July 17, 18, 19 • Bob Kildee Community Park, $275.................. 5 July 24, 25, 26 • Mission Oaks Park, $275....................................... 5 August 14, 15, 16 • Mission Oaks Park, $275................................ 5 August 21, 22, 23 • Bob Kildee Community Park, $275............... 5

All Skills Camp 7-10 and 10 and up.

Motivate to Move,Team Building.

Fun Activities specially designed to get your rookie to move and build playing endurance.

Agility conditioning, drills, baseball skills taught and individual instruction. Camp focuses on baseball as team sport, respect for one another and healthy habits.

August 28, 29, 30 • Pleasant Valley Fields, $275..................... 5

MULTIPLE CAMPS DISCOUNTS:

The Dmitri

D. Young

FOUNDATION, INC.

Founded in 2012, the Dmitri D. Young Foundation’s mission is to assist young student athletes in developing a strong work ethic and healthy lifestyle through inspiration, education and opportunity while imparting the importance of working hard and healthy living to be the best that they can be scholastically, on the field, and in their communities.

Dmitri D. Young Foundation provides grants and scholarships for programs, activities, and services that help youngsters reach their peak performance in life. We support programs that enrich and develop the athlete’s talents while teaching life skills and giving them the tools for a well-rounded future: Learning to distinguish between healthy and unhealthy choices is something all student athletes eventual deal with.

We proudly support Local Schools, Youth Programs, Boys and Girls Clubs and Individual Athletes. Our fund-raising is for Local Youth Programs, Baseball and Softball Scholarships as well as Personal Needs Athletic Scholarships for qualified student athletes who need encouragement and an opportunity.

www.dameathook.com

2 CAMPS @ $225 EACH = $450 3 CAMPS @ $200 EACH = $600 4 CAMPS @ $175 EACH = $700 TOTAL REGISTRATION FOR ALL CAMPS

www.CaliforniaBigLeagueAcademy.com $____________

• Join the Foundation Circle and help support our cause • Applications and Scholarships Info

ENCLOSE TOTAL PAYMENT or COMPLETED CREDIT CARD FORM

$____________

• Sponsorship Opportunities to help the Dmitri D. Young Foundation • Elite MLB Training and Appearances available for your group or team