Rhyne Park Renegades 12U Travel Team Tryout Registration
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Parent/Guardian First and Last Name *
Phone *
(xxx)xxx-xxxx
Email Address *
Disclaimer *
Statements - Medical Coverage   All tryout participant(s) must have their own medical coverage.     Statement of Disclaimer:  I/We, the undersigned, hereby certify that I (we) am (are) the parent or legal guardian of the camp participant. I hereby give permission to the staff of the tryout to   seek during the period of the tryout appropriate medical attention for the participant and for the medical attention to be given and for the tryout participant to receive medical attention in the   event of accident, injury, or illness. I will be responsible for any and all costs of medical attention and treatment.   I/We, the undersigned, for ourselves, our heirs, executors and administrators, waive, release, and forever discharge The Renegades or Rhyne Park and its board members, staff, officers, agents, employees, representatives, successors and assigns from any and all liability, claims, demands, actions, and causes of actions whatsoever arising out of or related to any loss, personal injury, or property damage that may be sustained or occur during participation while at the tryout.
Required
Player First and Last Name *
Date of Birth *
Must be born after Jan. 1, 2009
MM
/
DD
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YYYY
Years of Experience *
Throws *
Bats *
Required
Positions/Specialties?
outfield, catcher, first base, etc.
Indicate if you will be trying out for pitcher and/or catcher?
These tryouts will occur at the end of the regular tryout.  Note pitchers are required to work out an additional night each week.
Other activities or commitments you have during the season *
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