2018 Summer Camp Registration Form
Please complete the form below. After completing, a CONFIRMATION PAGE will pop up (you may need to scroll up) with detailed instructions regarding payment. Please following these instructions carefully.

If you have any questions, please do not hesitate to contact us at mudcatsstringer@gmail.com

All parents are required to sign a medical and media waiver prior to sending their child(ren) to camp. The waiver can be found on our website www.chicagomudcatsssc.com under PROGRAMS/SUMMER CAMP (scroll down for the button linking you to the waiver). Please print and sign this waiver either email it to mudcatsstringer@gmail.com or have your camper bring it with the first day of camp. Campers will not be allowed to participate without a completed waiver on file.

CAMP INFORMATION
Please make your selections below
BRANDS PARK CAMPS - BASEBALL
3259 North Elston, Chicago, IL 60618
Please register your camper here for Brands Park BASEBALL Camp | FULL DAY @ $175/WEEK
You may register for multiple sessions. Please check all that apply
Please register your camper here for Brands Park BASEBALL Camp | HALF DAY @ $90/WEEK
You may register for multiple sessions. Please check all that apply
Please provide any clarifying notes regarding your registration for Brands Park Baseball Camp below
Your answer
BRANDS PARK CAMPS - SOFTBALL
3259 North Elston, Chicago, IL 60618
Please register your camper here for Brands Park SOFTBALL Camp | FULL DAY @ $175/WEEK
You may register for multiple sessions. Please check all that apply
Please register your camper here for Brands Park SOFTBALL Camp | HALF DAY @ $90/WEEK
You may register for multiple sessions. Please check all that apply
Please provide any clarifying notes regarding your registration for Brands Park Softball Camp below
Your answer
ST THECLA SCHOOL CAMPS - BASEBALL
6323 N Newcastle Ave, Chicago, IL 60631
Please register your camper here for St. Thecla BASEBALL Camp | FULL DAY @ $175/WEEK
You may register for multiple sessions. Please check all that apply
Please register your camper here for St. Thecla BASEBALL Camp | HALF DAY @ $90/WEEK
You may register for multiple sessions. Please check all that apply
Please provide any clarifying notes regarding your registration for St. Thecla Baseball Camp below
Your answer
ST THECLA SCHOOL CAMPS - SOFTBALL
6323 N Newcastle Ave, Chicago, IL 60631
Please register your camper here for St. Thecla SOFTBALL Camp | FULL DAY @ $175/WEEK
You may register for multiple sessions. Please check all that apply
Please register your camper here for St. Thecla SOFTBALL Camp | HALF DAY @ $90/WEEK
You may register for multiple sessions. Please check all that apply
Please provide any clarifying notes regarding your registration for St. Thecla Softball Camp below
Your answer
CAMPER INFORMATION
You must complete a separate form for each camper you are registering
Camper First Name *
Your answer
Camper Last Name *
Your answer
Camper Date of Birth *
Your answer
Camper School Attending/Grade (2018-2019 School Year) *
Your answer
Camper Grade Level for 2018-19 School Year *
Your answer
Camper Email Address *
Enter N/A if not applicable
Your answer
Camper Cell Phone Number *
Enter N/A if not applicable
Your answer
Camper Home Phone Number *
Enter N/A if not applicable
Your answer
Please List Medical Conditions for Camper (if any) *
Enter N/A for none
Your answer
Please List Allergies for the Camper (if any) *
Enter N/A for none
Your answer
Will the Camper Need Medication During Camp Hours? If so please list below. *
Enter N/A for none
Your answer
Will the Camper Bring an Epi-Pen or Inhaler to Camp? If so please list below. *
Enter N/A for none
Your answer
PARENT/GUARDIAN INFORMATION
PRIMARY CONTACT
Relationship to Camper *
First Name *
Your answer
Last Name *
Your answer
Primary Email Address *
Your answer
Secondary Email Address
If Applicable
Your answer
Home Phone Number *
Enter N/A if not applicable
Your answer
Mobile Phone Number *
Enter N/A if not applicable
Your answer
Work Phone Number *
Enter N/A if not applicable
Your answer
Best Way to Reach You *
Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Occupation *
Your answer
Employer & Title *
Your answer
Camper Resides With...
PARENT/GUARDIAN INFORMATION
SECONDARY CONTACT
Relationship to Camper
First Name
Your answer
Last Name
Your answer
Primary Email Address
Your answer
Secondary Email Address
Your answer
Home Phone Number *
Enter N/A if not applicable
Your answer
Mobile Phone
Enter N/A if not applicable
Your answer
Work Phone
Enter N/A if not applicable
Your answer
Best Way to Reach You *
Street Address
Your answer
City
Your answer
State
Your answer
Zip Code
Your answer
Occupation
Your answer
Employer & Title
Your answer
EMERGENCY CONTACT INFORMATION
Please indicate below two emergency contacts IN ADDITION to those listed above
EMERGENCY CONTACT INFORMATION - #1
Emergency Contact #1 First Name *
Your answer
Emergency Contact #1 Last Name *
Your answer
Emergency Contact #1 Home Phone *
Your answer
Emergency Contact #1 Mobile Phone *
Your answer
Emergency Contact #1 Work Phone *
Your answer
Emergency Contact #1 Relationship to Camper *
Your answer
EMERGENCY CONTACT INFORMATION - #2
Emergency Contact #2 First Name *
Your answer
Emergency Contact #2 Last Name *
Your answer
Emergency Contact #2 Home Phone *
Your answer
Emergency Contact #2 Mobile Phone *
Your answer
Emergency Contact #2 Work Phone *
Your answer
Emergency Contact #2 Relationship to Camper *
Your answer
ADDITIONAL INFORMATION
Were you referred by anyone? If so, please provide their name.
Your answer
Please list names and phone numbers of those authorized to pick up your child(ren) from camp.
Campers will not be released to anyone that is not on the authorized list
Your answer
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