Booyah Baseball Camp presented by Southeast Recreation

May 19, 2021

Coach Jason Mariella: Brewster little league coach (Baseball and Softball) for 10 years. BLL board member for 7.

Head Coach of the Brewster Brigade and Brewster Bombshells travel teams. Baseball coach at Carmel sports club and

Brewster Modified softball coach. Coach Mariella believes in teamwork, sportsmanship and playing with heart. Coach

Subin cofounded the Brewster Crush Baseball travel program 4 years ago which currently consists of 5 teams. He was

1996 all section player for John Jay-CR. His coaching style is based on proper fundamentals and an understanding of

the game.

DIRECTORS: Jason Mariella & Mike Subin

DATES: July 12 13, 14, 15

LOCATION: Markel Park, 531 North Main St.

GRADES: Age 5 through 12

TIME: 9:00 am to 12:00 pm

FEE: $130.00 (Payable to Town of Southeast)

Please bring a drink and snack!

ACTIVITIES REGISTRATION FORM

PROGRAM: ____________________________________________________________________________________

NAME: ________________________________________________ MALE: ____ FEMALE: ____ GRADE: __________

ADDRESS: ______________________________________________________________________________________

CITY: _____________________________ ZIP CODE: __________

PHONE: (HOME) _____________________ (WORK) ______________________ (CELL) ______________________

EMERGENCY CONTACT: _____________________________________________ PHONE: _____________________

FEE (non-refundable) : CREDIT CARD: ______ CHECK: _________ CASH: ____________

CREDIT CARD INFO (No Amex): Number” ____________________________________________________________

Beginning September 2017 all programs will be subject to a 2% processing fee for all credit card payments.

Expiration date: ______________ Security Code: ________________

E-MAIL ADDRESS: ____________________________________________________________________________

______________________ has my permission to participate in the Southeast Recreation program. I assume all risks and

hazards incidental to such participation including transportation to and from activities. I do hereby waive, release, absolve, in-

demnify and agree to hold harmless the sponsors and coaches for any claim arising out of an injury to my child. I also understand

that it is my responsibility to notify the instructor of any MEDICAL/PHYSICAL condition that could limit my child’s participation

or that requires special attention.

PARENT/GUARDIAN SIGNATURE: _____________________________________ DATE: _________________________

Mail or drop off at: Town of Southeast Recreation Department

1 Main Street / Brewster, NY 10509 / phone: (845)279-3915 / Fax: (845) 279-3137

E-Mail: recreation@southeast-ny.gov Website: www.southeast-ny.gov

The Brewster Central School District neither sponsors nor endorses this event or organization. This information is distributed in line with the District’s policy to provide information regarding activities of general public interest which promote the education or other best interests of the students. Questions regarding this event or