Camp Application
Camper's Name:    Age:    D.O.B.    
Camper's Name:    Age:    D.O.B.  
Street:  Zip:
City:  E-mail:
Phone (Home):  Cell/Emerg.:
Youth League Affiliation:
Camp Name:
Camp Location: Agoura Hills
El Segundo		 Camp Dates:  
 
Tuition:
Full Tuition Amt:
Membership Discount Amt:
Late Pick-Up $15 per day
$15.00 x days = $
Total: $
Credit Card Information:
CC Type:
Card Holder:
Card Number:
Expiration:  
WESTCOASTBASEBALLSCHOOL.COM
Checks Payable/Mail To:
WCBS CAMPS
28752 Roadside Drive
Agoura Hills, CA 91301
Phone: (818) 865-9227
FAX: (818) 865-9210
E Mail: wcbsagoura@sbcglobal.net