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2016 Baseball Academy Registration

 

Please fill out the form below to begin the registration process for our 2016 Baseball Academy. Our two sessions are set for July 13-15 and August 9-11, and each day's activities will run from 9 a.m. to noon. The cost for a student to participate in a session of the Baseball Academy is $120. Please note: participants must be between the ages of 5 and 12 at the time of the session.

Each Academy participant also receives a t-shirt and two tickets to a Dash game on the final day of the session. One ticket is for the child, and the second is for a parent or guardian. Should you need any additional tickets, please indicate that in the dropdown menu above. If two tickets are sufficient, please select "No" in that dropdown menu. Additional tickets are $11 each, and all ticket sales are final. The Baker Roofing Box Office will be open on the final day of camp if additional tickets are needed.

If you are not using a credit card to pay, you can leave the credit card information blank. No cards are charged during the fulfillment and submission of this form. All charges are made through the Dash once the submitted information and the release form are reviewed.

Also, please fill out this release Form and send to mimi.driscoll@wsdash.com or hand deliver to the Winston-Salem Dash Front Office. This is located at 926 Brookstown Avenue, Winston-Salem, NC 27101, and it is open Monday through Friday between the hours of 8:30 a.m. and 5:30 p.m.

For any further questions, call Mimi Driscoll at (336) 714-6880.

Student Name:
Shirt size:
Additional Student (if applicable):
Shirt size:
Additional Student (if applicable):
Shirt size:
Choose your session(s): July 13-15
August 9-11
Parent's name:
Address:
City:
State:
Zip Code:
Phone Number:
Emergency Phone:
E-mail Address:
Credit Card type
Credit Card number:
Expiration date:
Security number (on back of card):
Any additional tickets?*
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* - See the information at the top of the page for full details on additional tickets.