Christmas Camp 2018
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Aftercare
Below please select the day(s) that aftercare will be needed.
If aftercare not needed, please select "No aftercare".
REMINDER: There is a $10/day additional charge for aftercare
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Player Information
Player First Name *
Your answer
Player Last Name *
Your answer
DOB *
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DD
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Parent/Emergency Contact Information
Contact Name *
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Contact Phone *
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Alternate Phone
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Contact Email *
Your answer
Waivers
Please scroll to the bottom & select "Agree"
*
1- I/We, the parent's) of the above named child, hereby give my/our approval to participate in any and all league activities. I/We understand that there are certain risks of injury inherent in the practice and play of this sport, as well as in traveling and other related activities incidental to my/our child's participation, and I/We are willing to assume these risks on behalf of my/our child. I/We hereby certify that my/our child is fully capable of participating in the designated sport and that my/our child is healthy and has no physical or mental disabilities or infirmities that would restrict full participation in these activities, except as listed above. I/We for ourselves and on behalf of my/our child, hereby waive, release, absolve, and agree to hold harmless TB Sports LLC, USA Patriots, Inc., USA Baseball Softball Academy, LLC and M3PAT, LLC, all officers, directors, organizers, sponsors and persons transporting my/our child to and from activities for any claim arising out of any injury to my/our child whether the result of negligence or for any other cause. 2- I/We, the parent's) of the above named child, hereby grant and consent to full authority for the rendering of assistance, care, and treatment of the above named child under circumstances which shall reasonable be deemed an emergency, including without limitation: 1) I/We hereby give permission to the coaches and other persons of authority to administer first aid to the above named child; and 2) I/We give permission to have the above named child transported by ambulance, police or private vehicle to a hospital or doctor's office if deemed necessary by the coached or any other person of authority; and 3) I/We do hereby authorize the immediate treatment of the above named child by a licensed doctor and/or hospital personnel to the extent deemed necessary by such doctor and/or hospital personnel, including without limitation any diagnostic procedures, care and treatment as may deemed necessary. In the event of an injury, I understand that my medical insurance company is the primary provider. 3- I/We, the parent's) of the above named child, hereby grant permission to TB Sports LLC, USA Patriots, Inc., USA Baseball Softball Academy, LLC and M3PAT, LLC, including any faculty or staff, to publish or display pictures of my/our child, individually or as part of a group, in TB Sports, USA Patriots, Inc., USA Baseball Softball Academy, LLC and M3PAT, LLC, publications, website or displayed with the TB Sports LLC, USA Patriots, Inc., USA Baseball Softball Academy, LLC and M3PAT, LLC facility. I understand that this permission is valid unless and until a subsequently signed and dated letter revoking the permission is received by TB Sports LLC, USA Patriots, Inc., USA Baseball Softball Academy, LLC and M3PAT, LLC. 4- WARNING: Protective equipment cannot prevent all injuries a player might receive while participating in sports. TB Sports LLC, USA Patriots, Inc., USA Baseball Softball Academy, LLC & M3PAT, LLC, all officers, directors, organizers, sponsors & person transporting my/our child to and from activities does not limit participation in its activities on the basis of disability, race, color, creed, national origin, gender, sexual preference or religious preference.
Required
PAYMENT
REGISTRATION IS NOT COMPLETE UNTIL PAYMENT IS MADE. WE WILL BE SENDING YOU AN INVOICE WITHIN 24-48 HOURS OF SUBMISSION OF THIS FORM.
A copy of your responses will be emailed to the address you provided.
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