KERSHAW'S CHALLENGE CAMP APPLICATION

KershawChallengeLogo_sm.png

For a sixth year, Mercy Street is an honored recipient of Kershaw’s Challenge! As an ADDED BLESSING of this relationship, Clayton, himself will be hosting.

6th Annual Clayton Kershaw Baseball Camp
Saturday, November 4th from 10am - 4pm

Texas Rangers Youth Academy at Mercy Street Sports Complex,
presented by Toyota at Kershaw's Challenge Field
3500 Goldman St, Dallas, TX 75212
Camp is open to ages 7-18. Cost is $10.00 per camper.

Check in begins at 8:30am!

Player Information
6th Annual Clayton Kershaw Basbeball Camp on Saturday, November 5th from 10am-4pm on the Mercy Street Field of Dreams. It is open for ages 7-18.
Name *
Name
Address *
Address
Home Phone *
Home Phone
Please indicate the name of the school your player currently attends, even if it is out the city of Dallas or the state of Texas.
Date of Birth *
Date of Birth
Parent/Guardian #1
Parent/Guardian #1 *
Parent/Guardian #1
Phone 1 *
Phone 1
Parent/Guardian #2
Name 2
Name 2
Phone 2
Phone 2
Medical/Emergency contact information
Emergency Contact Name *
Emergency Contact Name
Emergency Phone Number *
Emergency Phone Number
Waiver
1. We the parents/guardian of the above-named candidate for the Clayton Kershaw Baseball Camp, herby give my/our approval to participate in any and all Little League activities, including transportation to and from the activities. 2. I/We know that participation in baseball or softball may result in serious injuries and protective equipment does not prevent all injuries to players, and do herby waive, release, absolve, indemnify, and agree to hold harmless the local Little League, Little League Baseball, Incorporated, the organizers, sponsors, supervisors, participants, and persons transporting my/our child to and from activities from any claim arising out of any injury to my/our child whether the result of negligence or for any other case. 3. I/We agree to return upon request the uniform and other equipment issues to my/our child in as good conditions as when received except for normal wear and tear. 4. For the purpose of support and awareness of Mercy Street and to highlight activities, outreach opportunities, group pictures, artwork, newsletter, and other publications, videos or on the website. The statement below allows the student/chid’s name, picture, art, written work, voice, verbal statements or portraits (video or still) to appear on Mercy Street’s publications or website. Student and Parent/Guardian release to Mercy Street the student/chid’s name, picture, art, and written work and consent to their use by Mercy Street Ministries.
I/we agree with the above waiver *
I agree to pay $10.00 per registered player at check-in. *
ClaytonKershawBaseballCamp-copy.jpg

If you are interested in volunteering with Clayton Kershaw’s Baseball Camp on Saturday, November 5th please fill out the Volunteer Application found here. *Please note in the application that your desire is to volunteer with the camp.  Once you submit it, you will be contact by Lee Jackson, Director of Sports.