This web site is the property of Dave Henderson Baseball Adventures.
All inquiries should be addressed to dhbaweb@hendersonbaseball.com
© DHBA 1999-2013
Stockton Ports Adult Weekend Camp

April 26, 27, 28, 2013


Make checks payable to or, FAX your completed registration form with credit card information to (509) 277-0327

Dave Henderson Baseball Adventures and mail to:
Dave Henderson Baseball Adventures, LLC
W 2003 Broadway
Spokane, WA 99201

Instructions: please fill out this form and then you may print out the form and fax or mail to the above address or fax number. If you fax or mail your form please use a live signature at the bottom, you accept this as your live signature for the purpose of the camp charging your card.

Three Day Camp Price: $950


Name: _____________________________________Email:____________________________________________

Address: ___________________________________________________City: _____________________________

State: _______Zip: ____________ Day Phone: __________________ Evening Phone: _____________________

Occupation: _________________________________ Age: _______

Height: ______ Weight: ______ Waist/Inseam: ________ Jersey size: S M L XL XXL XXXL Desired Number: _____

Please list any medical conditions that may effect your participation in camp:

_______________________________________________________________________

_______________________________________________________________________

Payment Information:

Charge my credit card in the amount of $_________($250 deposit required)

Visa___ MasterCard ___

Card#: ____________________________________________

Expiration Date: ____________ Card Holder Name: _____________________________

Signature: _____________________________________________________________

1916- 2012
At Papago in 2013
January 18-24
88