North Fork Ospreys FREE Youth Baseball Clinics for Little Leaguers
Clinic Dates: Saturday July 1 AND Monday July 17 9:30am to 11:30am
Clinic Address: Jean Cochran Park, Peconic Lane Peconic (home of the North Fork Ospreys)
Contact us at: janetnodirt@aol.com
Player's Name
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Parent Email
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Parent Phone (in case of emergency)
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Player's Date of Birth:
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Health Insurance Carrier
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Clinics Your Child Will Attend (check all that apply)
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HCBL HOLD HARMLESS AGREEMENT & MEDICAL RELEASE: Participants assume all reasonable risks which may exist by virtue of participating in these activities and hereby indemnify, hold harmless, waive and release any and all rights and claims for damages against the Hamptons Collegiate Baseball League (HCBL), its agents, servants and employees, The North Fork Ospreys, its agents, servants and employees, and other such individuals who may be involved in the planning and implementation of the program, for claims by participants, heirs, executors, administrators, or any other third parties for injuries that may arise from participation in this program, or acts of negligence or gross negligence arising out of this agreement. I hereby further authorize emergency medical care for my child/children during attendance in the HCBL clinic. If, in the judgment of the staff, treatment is required for any injury or illness. I understand that whenever possible I will be notified prior to medical treatment of my child/children, or at the earliest possible time should prior notice prove impossible. I further understand that I am financially responsible for any medical expenses or emergency transportation incurred on my child/children behalf.
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