Summer Hitting & Fielding Clinic
8-12 YR Olds
Cost: $100 

June 15 & 16, 

JUNE CLINIC SOLD OUT--WAIT LIST ONLY--CALL/TEXT 615.837.5858 TO BE PLACED ON THE WAIT LIST

OR

July 13 & 14

9-11AM

Join us for a 2-day clinic to take your hitting & fielding to the next level. Our coaches will showcase elite techniques and incorporate mechanics that will carry your athlete throughout his/her time as a player.
Sign in to Google to save your progress. Learn more
Email *
Athlete's Name
Age as June 1st
Parent/Guardian
Phone
Address
Emergency Contact Name and Phone Number
Does the athlete have any known heart or breathing conditions? If yes, please list:
List any Allergies

Consent to Medical Treatment & Release of Liability

(Read this before signing below) 

In consideration of being allowed to participate in this camp, related events, and activities, I hereby RELEASE, WAIVE, DICHARGE, AND COVENANT NOT TO SUE Nashville Baseball Academy from any and all liability, claims, demands, or course of action whatsoever arising out of related to any loss, damage, or injury, including death, that may be sustained by me/my child, WHETHER CAUSED BY THE NEGLIGENCE OF THE RELEASEE, or otherwise, while participating in this camp, or while in, on upon the premises where the camp is being conducted.

To the best of my knowledge, I/my child and/is in good physical condition and I am not aware of any physical infirmity which would place me/my child at risk to participate in any way with camp activities. I am fully aware of risks and hazards connected with the camp. I VOLUNTARILY ASSUME FULL RESPONSIBILITY FOR ANY RISK OF LOSS, PROPERTY DAMAGE, OR PERSONAL INJURY, INCLUDING DEATH, that may be sustained by me/my child, or any loss or damage to property owned by me/my child, as a result of being engaged in the camp’s activities, WHETHER CAUSED BY THE NEGLIGENCE OF THE RELEASEE or otherwise. I further hereby AGREE TO INDEMNIFY AND HOLD HARMLESS the RELEASEE from any loss, liability, damage, or cost, including court costs and attorney’s fees, that may accrue related to me/ my child’s participation in this camp, WHETHER CAUSED BY NEGLIGENCE OF THE RELEASEE or otherwise.

During the period of camp, I hereby give permission for the staff of Nashville Baseball Academy to administer appropriate medical attention to me/my child in the event of an accident, illness or injury. I will be responsible for any and all costs of medical coverage and treatment provided not covered by insurance.

It is my express intent that this Waiver of Liability and Hold Harmless Agreement shall bind the member of my family and spouse, if I am alive, and my heirs, assigns a personal representative, if I am deceased, and shall be deemed as a RELEASEE, WAIVER, DISCHARGE AND COVENANT NOT TO SURE the above-named RELEASEE. I hereby further agree that this Waiver of Liability and Hold Harmless Agreement shall be construed in accordance with the laws of the State of Virginia. In signing this release, I acknowledge and represent that I have read and understand it and sign it voluntarily; I am at least eighteen (18) years of age and fully competent; and I execute this Release for full, adequate and complete consideration fully intending to be bound by the same.

I HAVE READ THIS WAIVER OF LIABILITY AND FULLY UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT INDUCEMENT.

Medical Insurance Company Name
Policy Number 
Group Number
Insurance Company Phone Number
Insured’s Name
Secondary Insurance Company (If applicable)
We may want to use photos of your child's image for Facebook and other advertising. Please check yes if you approve or no, if you do not.
Select a Clinic
Clear selection
Acceptable forms of payment are: Venmo @NashvilleBaseball-Academy or online (use the link below):

Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report