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2017 Youth Baseball Academy Registration

 

Please fill out the form below to begin the registration process for our 2017 Youth Baseball Academy, presented by Sheetz. Our two sessions are set for July 31-August 4 (five-day session) and August 15-17 (three-day session), and each day's activities will run from 9 a.m. to noon. Until March 1, the five-day session will be $180 per participant, and the three-day session will be $100 per participant. After March 1, the prices will increase to $200 and $120, respectively. Please note: participants must be between the ages of 5 and 12 at the time of the session.

Each 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 brittani.stewart@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 Brittani Stewart at (336) 714-6865.

Student name:
Student shirt size:
Student's birthday:
Additional student (if applicable):
Shirt size:
Student's birthday:
Additional student (if applicable):
Shirt size:
Student's birthday:
Choose your session: July 31-August 4
August 15-17
Parent's name:
Address:
City:
State:
Zip Code:
Phone Number:
Emergency Phone:
Email 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.