Schools Out Baseball/Softball Camp
Date: January 20, 2020
Location: TBD will be in Gaithersburg
Time: 9:00-3:00 **Early drop off (8:00 am) available for extra charge**
Contact us for any questions at 301-602-3424 or jennstaubcbi@aol.com
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Campers First and Last Name *
Camper Age *
Do you need early drop off at 8:00 am? *
Parent First and Last Name *
Parent Email *
Parent Cell Phone *
Emergency Contact Name *
Emergency Contact CELL number *
Insurance Carrier and Policy # *
Does your player have any Special Medical Conditions and/or Allergies (Please Describe)?: *
In consideration of being allowed to participate in any way in the Clarksburg Baseball & Softball Inc. youth sports program and LLS, related events and activities,  the undersigned acknowledges, appreciates and agrees that: 1. The risk of injury from the activities involved in this program is significant, including the potential for permanent paralysis and death, and  while particular rules, equipment and personal discipline may reduce this risk, the risk of serious injury does exist; and 2. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASES or others, and assume full responsibility for my participation; and, 3. I willingly agree to comply with the stated customary terms and conditions for participation. If, however, I observe any unusual significant  hazard during my presence or participation, I will remove myself from participation and being such to the attention of the nearest official  immediately; and,4. I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE AND HOLD HARMLESS Clarksburg Baseball & Softball Inc. and LLS, their officials, agents, and/or employees, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors of premises used to conduct the event (“RELEASES”), WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH or loss or damage to person or property. WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASES OR OTHERWISE, to the fullest extent permitted by law.I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT. FULLY UNDERSTAND ITS TERMS, UNDERSIGNED THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT  ANY INDUCEMENT.For PARTICIPANTS OF MINORITY AGE(BELOW THE AGE OF 18 AT THE TIME OF REGISTRATION)This is to certify that I, as parent/guardian with legal responsibility for this participant, do consent and agree to his/her release as provided above of all Releases, and for myself, my heirs, assigns and next of kin, I release and agree to indemnify and hold harmless the Releases from any and all liabilities incident to my minor child’s involvement or participation in these programs as provided above, EVEN IF ARISING FROM THEIR NEGLIGENCE.In Consideration of participation in the Clarksburg Baseball & Softball and LLS event, the undersigned agrees that their likeness, or the likeness of their child / ward, may be photographed and or videotaped and that such image may be published in an outlet used to promote and or publicize the Clarksburg Baseball & Softball and LLS Programs. *
If cancelled due to bad weather we will do our best to have a makeup session. There are no refunds or credits for weather. By checking this box I understand that this camp is non-refundable. *
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