Summer Camp Attending : Select South Brandon LL

Child's Name :

Address :

City : State : Zip Code :

Primary Phone Number : Alternate Phone Number :

Child's Age : Select 6 7 8 9 10 11 12 13 14                                         Shirt Size : Select Youth Small Youth Medium Youth Large Adult Small Adult Medium Adult Large

School Child Attends Now : Grade : Select Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade 6th Grade 7th Grade 8th Grade

Parent or Guardian's Name :

Email Address :

Program Interested In :                          Select After School Thanksgiving Break Winter Break 1 Winter Break 2 Spring Break Summer

Sport Interested In :                               Select Baseball Softball

Session Type (Summer Only):                Select Half Day Full Day

Make checks payable to:

Saladino Baseball Academy

776 W. Lumsden Road

Suite 106

Brandon, Fl  33511