Request edit access
2015 Thanksgiving Camp
Please fill in all of the required information below.
Player Name *
First & Last
Your answer
Player Age *
Your answer
Parent(s) Name(s) *
Your answer
Email Address *
(Parent)
Your answer
Phone # *
(Parent)
Your answer
Emergency Contact #1 *
Name, Relationship to Player, Phone #
Your answer
Emergency Contact #2 (Optional)
Name, Relationship to Player, Phone #
Your answer
In the case of a true emergency I give instructors permission to call an ambulance and I have insurance coverage *
Includes life threatening emergencies or very serious head, limb or bodily injuries
Required
Anything else we need to know about your son (optional)
Your answer
WAIVER OF LIABILITY, RELEASE, ASSUMPTION OF RISK AND INDEMNITY AGREEMENT *
For and in consideration of PARTICIPANT participation with BCM Performance, LLC, Ronick Baseball Academy, LLC and their affiliates (hereafter, collectively referred to as “BCM/Ronick”) and PARTICIPANT’s being allowed to participate in BCM/Ronick events, PARTICIPANT and PARTICIPANT’s parent(s) or legal guardian(s) on behalf of PARTICIPANT (if PARTICIPANT is a minor or has a legal guardian) relinquishes and waives any and all claims and causes of action against BCM/Ronick, its Owners, Coaches, Staff, Camp/Clinic Management, Directors, and Sponsors, for personal injury, illness, property damage or wrongful death in connection with, relating to, or arising from any and all BCM/Ronick events and activities, wherever and however such personal injuries, illness, property damage, or wrongful death occurs. I UNDERSTAND THAT THERE IS RISK OF INJURY TO THE PLAYER AS A RESULT OF BCM/RONICK EVENTS AND ACTIVITIES, AND KNOWINGLY AND VOLUNTARILY ASSUME ALL RISK OF SUCH INJURY. I UNDERSTAND THAT BRETT MANNING AND ARI RONICK ARE NOT CLAIMING TO BE CERTIFIED PERSONAL TRAINERS NOR CERTIFIED SPORT PSYCHOLOGISTS. I UNDERSTAND THAT ALL THEY ARE DOING IS SIMPLY SHARING WITH AND EDUCATING PARTICPANTS ON EXERCISES AND MENTAL GAME TOOLS THEY HAVE LEARNED FROM THEIR BASEBALL COACHES, STRENGTH AND CODITIONING COACHES AND SPORT PSYCHOLOGISTS OVER THE YEARS IN THEIR COLLEGIATE AND PROFESSIONAL BASEBALL CAREERS. I UNDERSTAND THAT IF THE PARTICIPANT FEELS THE EXERCISES ARE TOO DIFFICULT, HE OR SHE MAY STOP DOING THE EXERCISES AT ANY TIME, HOWEVER IT IS THEIR RESPONSIBILITY TO DISCONTINUE THE EXERCISES IF DESIRED. To the best of his or her knowledge, PARTICIPANT acknowledges, understands, has full knowledge of, and assumes all risks inherent in each and all BCM/Ronick activities and understands that such sports and activities involve risks to PARTICIPANT, including possible bodily injury, partial or total disability, paralysis, death and other injuries and damages which may arise therefore PARTICIPANT agrees that if any claims or causes of action relating to PARTICIPANT’s personal injury or wrongful death or for property damage relating to or arising out of any BCM/Ronick activities is made or commenced against any RELEASEES, PARTICIPANT shall defend, indemnify and hold harmless such RELEASEES from such claims or causes of action and all damages and liabilities relating thereto, including reasonable attorneys’ fees and costs and expenses to defend. PARTICIPANT agrees that before participating in any BCM/Ronick activities, they will inspect the facilities, premises and equipment to be used, and if they believe that anything is unsafe, they will immediately advise their coaches or supervisors of such conditions and refuse to participate. PARTICIPANT also agrees that they are in a an appropriate level of athletic shape and ability, according to a medical doctor’s advise, to participate in this BCM/Ronick event. It may be necessary to play in adverse weather conditions due to the nature of the particular events. I will be financially responsible for any medical attention needed during the event or activity or resulting from an injury received from the event or activity. PARTICIPANT’s medical insurance shall be the insurance coverage for any medical treatment resulting from any injury occurring during a BCM/Ronick event. I further understand that BCM/Ronick retains the right to use, for publicity and advertising, photographs of campers taken at an event. On behalf of PARTICIPANT, PARTICIPANT’s parent or legal guardian acknowledges that he or she (A) has read the above paragraphs; (B) has not replied on any representations of any releases without reasonable verification or injury; (C) has, to the best of his or her knowledge and satisfaction, been fully advised of the risks and potential dangers that may result of participation in BCM/Ronick events; and (D) signs this agreement voluntarily, understanding that this agreement is necessary in order for amateur sports events, such as this BCM/Ronick event, to exist in its present form.
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service