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CAMPS & CLINICS

2021 Baseball
Showcase

Please confirm your submission

June 15 at 10 a.m.
Liberty Park Stadium, Sedalia, MO

Email address *

garrettlampert155@gmail.com

First name *

Garrett

Last name *

Lampert

Address 1 *

9809 N Arlington Ave

City *

Kansas City

State *

Missouri

ZIP Code *

64157

Cell Phone Number *

8165203651

High School Grade *


Please select the grade you will be in this upcoming Fall
Freshman
Sophomore
Junior
Senior
Just Graduated

Parent/Gaurdian Information

First Name *

Meghan

Last Name *

Lampert

Street Address 1 *

9809 N Arlington Ave

Street Address 2

City *

Kansas City

State *

Missouri

Zip Code *

64157

Email Address *

meglamp@att.net

Phone Number *

8168200436

Emergency Contact Information

Full Name *

Keith Lampert

Phone Number *

8166738772

Alternate Phone Number

8168200436

Relationship to Player *

Father

Medical Insurance Provider *

Cigna Health

Medical Insurance Number *

103957416

Known Allergies

Other information or known medical issues of concern

I declare that I am the legal parent or guardian *

Yes

This showcase costs $75 to participate. Please make


checks payable to SFCC Athletic Department c/o baseball
showcase

By clicking the "Submit" button below...

I, the undersigned parent or legal guardian of the above-


named minor do hereby consent and agree that the above-
named minor may participate in the SFCC baseball
showcase. It is agreed that the named college, board
members, and officials assume no legal liability for injuries
or other loss as a result of said participation. It is further
agreed that this consent shall remain in full force and effect
until such time as the undersigned parent or legal guardian
shall notify the college in writing of the subrogation or
cancellation of this consent.

I hereby certify that the SFCC baseball showcase staff has


full and unconditional authority to proceed with diagnosis
and treatment as judgment indicates for injuries during
camp. The SFCC baseball showcase shall not be held
responsible for any consequences resulting from injuries.

SFCC is an equal opportunity institution and is smoke and


tobacco-free.
Visit sfccmo.edu to learn more.

If you have questions/concerns or need help registering,


please contact:
Coach Jud Kindle
660-287-4722

Please Confirm Re-edit form

! " # $ %

STATE FAIR COMMUNITY COLLEGE


3201 W. 16TH. ST. SEDALIA, MISSOURI 65301-2199
Nondiscrimination and Accommodations | Tobacco and
Smoke-free

SFCC is accredited by the Higher Learning Commission.


Go to hlcommission.org to view current status.
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