WHO:
Youth Baseball Players
WHERE:
Dobson High School
WHAT:
Baseball participation and skill development
WHEN:
May 27 - June 25 / Monday thru Wednesday
_____Session - $100 7:30-9:30 7th and 8th grade
_____Session - $100 9:00-11:30 9th - 12th grades
COST:
$100 for the entire session
CONTACT:
Coach Dave Tykoski 472-3248
SIGN UP:
Complete the registration form below and mail with check, money order or credit card information to the address at the bottom of the page or TO PAY ONLINE CLICK HERE: www.mpsaz.org/pay Then click on Sports Camps.

-------------------------------Cut and Return here or pay on-line-----------------------

May 27 - June 25 / Monday thru Wednesday
_____Session - $100 7:30-9:30 7th and 8th grade
_____Session - $100 9:00-11:30 9th - 12th grades

Contact: Dave Tykoski 472-3248 --- Account # 274-1302
TO PAY ONLINE CLICK HERE: www.mpsaz.org/pay
Then click on sports camps.
I give permission for my child to participate in the camp listed. I understand all risks and hazards
incidental to participation and do hereby waive, release, absolve, indemnify and hold harmless
Mesa Public Schools and the school from any claim arising out of any injury to my child.

Student
Name:
.
(H) Phone:
Parent/
Guardian:
.
(W) Phone:
Address:
City:
Zip:
Amt. Paid :

__________
Credit Card: ______Visa ______Mastercard

__________________________________
Exp. Date::

__________
3 Digit Code:

__________
Checks must be made payable to : Mesa Public Schools.
Mail to: Mesa Public Schools - Accounting CE, 63 East Main #101, Mesa, Az. 85201