Eric Bell Baseball Camps Registration Form

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Camper Name
Mailing Address
City
State
Zip
Home Phone
FAX
E-mail Address
Age
Birthday
Camper's Shirt Size
Parent/Guardian Name
Home Phone
Work Phone
Cell Phone
Emergency Contact Name
Emergency Phone
Camp We Plan to Attend

 

CONDITIONS

We the above signed and the undersigned, hereby state that the camper listed on this form is a voluntary participant in the above stated program. In consideration of the of this application to participate in said program, I do hereby release and forever discharge DEER BELL BASEBALL CAMPS, ROB DEER, ERIC BELL, AND ANY AND ALL COACHES AND EMPLOYEES OF THE CAMP from any and all liabilities, claims, actions and possible causes of action whatsoever that may accrue to me or to my heirs from every and any loss or damage and injury including death, that may be sustained by my person or property while in, at, or on route into and away from said program. AND whereas, the above signed and undersigned is aware of the dangerous nature of his/her undertaking as it relates to loss of life and or limb.

Therefore, it is agreed as follows: That in consideration of being allowed to participate in said program, the undersigned hereby voluntarily assumes all risks from accident or damage to person or property and hereby releases DEER BELL BASEBALL CAMPS, ROB DEER, ERIC BELL, AND ANY AND ALL COACHES AND EMPLOYEES OF THE CAMP from every claim, liability or demand of any kind for on account of any personal injury or damage of any kind for or on account of any personal injury or damage of any kind sustained or caused by negligence of DEER BELL BASEBALL CAMPS, ROB DEER, ERIC BELL, AND ANY AND ALL COACHES AND EMPLOYEES OF THE CAMP, its sponsors or otherwise.

I hereby authorize any coach and/or authorized DEER BELL BASEBALL CAMPS, ROB DEER, ERIC BELL, AND ANY AND ALL COACHES AND EMPLOYEES OF THE CAMP to act on my behalf, to administer primary first-aid and arrange for appropriate medical treatment, in the case of illness or injury to my child.

Entering my name here certifies that I, the camper's parent or guardian, agree to the above conditions.

 

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