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		Southern Maryland Baseball Camp
 
 		   Printable Registration Form
 
		 Southern Maryland Summer Baseball Camp
 
			      P.O. Box 674
 
			  Huntingtown,MD 20639
 

 

 
Name: _______________________  Age: ______________  DOB: ______________
 

 
 
 
Address: ___________________  City: ______________  State:  _____  Zip: __________  
 

 

 
Home Phone: ______________  Height: _____________ Weight: ____________
 

 

 
Positions Primary: ___________  Secondary: ___________  
 

 

 
Throws: R or L   Bats: R or L or Switch
 

 

 
School: ___________________  Grade: ___________  Year of Graduation: _____________
 

 

 
SAT Score: __________  ACT Score: ___________  PSAT Score: ___________  GPA: ________
 

 

 
Insurance Information: __________________________ E-Mail Address: ___________________
 

 

 
Camp Shirt: Circle Correct Size (All Adult Sizes) S M L XL XXL  Amount Paid: ________
 

 

 
Please send this registration form and check payable to: 
 
Southern Maryland Baseball
 
P.O. Box 674 Huntingtown, MD 20639