Brock High School
Baseball Camp
*You can find copies of this on the Brock ISD web page (www.brockisd.net), in the Brock High School, Brock Middle School and Brock Elementary School front offices.
Camp Dates: June 23th – 26th, 2008
Ages: 6 years old – incoming freshmen (there will be 3 groupings 6-9 yr. old; 10-12 yr. old; 13 and up)
Times: 8:30 – 11:30 (Pitching Camp: 11:30-12:20)
Camp Sight: Brock High School Baseball Field
Price: Pre-registered campers (before June 19th): $45
Others: $50
o Pitching Camp will be $15
Please Mail Checks to: For More Information Please
Chad Massey Contact Chad Massey @
1838 East Lake Drive. (817) 594-0712 or
Weatherford, TX. 76087 (817) 597-5572
Ř please make checks out
to Chad Massey
Camper Information
Camper’s Name: __________________ Parent’s Name: __________________________
Camper’s Age: ________ Home Phone: ___________________________
Address: _________________________ Cell Phone: _____________________________
_______________________ Emergency Contact: ______________________
_______________________ _______________________________________
This camper will be attending (Please Check One of The following):
___ Baseball Camp ($45)
___ Pitching Camp ($15)
___ Both Baseball and Pitching Camp ($60)
T-Shirt Size (Please Circle One Size)
Youth S M L
Adult S M L XL
Medical Treatment-Consent and Release Authorization:
We the undersigned, for ourselves, our heirs, executors and administrators, waive, release and forgive discharge the Brock High School Baseball Camp, Chad Massey, and its staff from all rights and claims for damages, injuries, or loss of person or property which may be sustained or occurred during participation in Camp activities or while at Camp. I also give permission for my child to be treated at a local hospital in case of emergency.
_______________________ ____________________
Parent/Guardian Signature Date