MEDICAL WAIVER

Name of camper(s) *

Age of camper(s)

Select the date(s) attending *

June 10-14

July 8-12

Required

I/We release Livermore Valley Baseball from all liability for the participation of this camp. All injuries and medical attention that might be needed will be handled by your private physician. Livermore Valley Baseball does not assume any responsibility for medical costs or lost wages. *

Agree

Parent Name and Contact Number #1 *

Parent Name and Contact Number #2 *

Doctor/Hospital Contact Number *

Food Allergies *

Any other important info