2010 Father-Son Application
Complete This Form, Print and
Mail with Payment To:
Coach Dennis Womack
Virginia Baseball Camps, Inc. - 850 Mechums West Dr. - Charlottesville, VA 22903
CLICK HERE to download the Medical Form

Son's Information
1. Son's Name
D.O.B. Age
2. Son's Name
D.O.B. Age
3. Son's Name
D.O.B. Age
 Remember to register BOTH father and son.
Tuition (includes father and one son)

Father's Information
Father's/Parent's Name
Address
City  
State Zip Code  
D.O.B. Age
Home Phone # Work # Cell #
email
*this email is used for camp correspondence
 
July 30 - August 1, 2010 -- $500 registration fee
 
Lodging
Standard Cabin (included in camp tuition)

GML Motel (Requires additional surcharge and subject to availability)

NOTE: GML Motel upgrades are $ 185.00 combined for father and son. All GML motel reservations and upgrade payments are to be made directly with Graves Mountain Lodge by calling 540-923-4231. Please reference “Father-Son Camp” when making upgrade reservations.
Payment of $_____________ Enclosed
Note: Please send a photocopy of your insurance card or military ID (front & back).

Complete this application, Print and CLICK HERE to download the Medical Form