2019 Baseball Summer Camp

Email Secondary Email

There are errors with your form submission. Please review and submit again

Player / Camper Information

Email address *

First name *

Last name *

Address 1 *

City *

State *

ZIP Code *

High School Grade (as of Sept 2019) *

Freshman (9) Sophomore (10) Junior (11) Senior (12)

Parent / Guardian Information

First Name

Last Name *

Street Address *

Street Address 2

City *

State *

Zip Code *

Email Address *

Telephone *

Emergency Contact

Full Name *

Telephone *

Alternate Telephone

Relation to the Player? *

Medical Insurance Provider *

Medical Insurance Number *

Known Allergies

Other Information or Medical Issues known or of concern.

I declare that I am the legal parent or guardian *

Yes No

Please make checks payable to SFCC Athletic Department c/o baseball showcase

By clicking the "Submit" button below...

I, the undersigned parent or legal guardian of the above-named minor do hereby consent and agree that the

above-named minor may participate in the SFCC baseball showcase. It is agreed that the named college, board members,

and officials assume no legal liability for injuries or other loss as a result of said participation. It is further agreed that

this consent shall remain in full force and effect until such time as the undersigned parent or legal guardian shall

notify the college in writing of the subrogation or cancellation of this consent.

I hereby certify that the SFCC baseball showcase staff has full and unconditional authority to proceed with diagnosis and

treatment as judgment indicates for injuries during camp. The SFCC baseball showcase shall not be held responsible for

any consequences resulting from injuries.

SFCC is an equal opportunity institution and is smoke and tobacco-free.

Visit sfccmo.edu to learn more.

Please contact:
Coach Jud Kindle
660-287-4722

* required field

State Fair Community College

Camps & Clinics

2019 Baseball Summer Camp

Player / Camper Information

Parent / Guardian Information

Emergency Contact