Summer Softball Camps

MAIL TO:
If requesting more than one session you will need to
check the boxes for each session you would like to attend.
Ed Gallio
4614 W. Bay Court Ave.
Tampa, Florida. 33611

Session Information:

Which session(s) are you interested in? (please check all that apply) Session One: June 21st - June 25thSession Two: June 28th - July 2ndSession Three: July 12th - July 16thSession Four: July 19th - July 23rd

Will you be needing to make early drop off arrangements? (time not required now) YesNoUnknown

Please contact Couch Ed Gallio for questions or details on early drop off.

Camper Information:

Camper name:

Camper Age:

Parent Information:

Parent name:

Phone number:

Parent name:

Parent number:

E-Mail address:

***Only one parent contact information required.

Additional Emergency Contacts:

Contact name:

Relationship:

Phone Number:

Contact name:

Relationship:

Phone number:

Additional Information:

Does your camper have any allergies or medical needs?

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