EmailMe Form - Baseball Camp Registration Form

Player's Name

First Last

T-Shirt Size

Age group

Camp

Basic Baseball Camp

Advanced Skills Baseball Camp

Position

Pitcher

Catcher

Outfielder

Infielder

Parent Information

Please enter parent or legal guardian information here

Name

First Last

Phone

### - ### - ####

Email

Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Medical Release:
Release of liability: By checking YES on this permission /waiver form, I expressly warrant that the child
named is capable of withstanding both the physical and mental demands of the activities
discussed. I also expressly assume all risks of the child participating in the activities, whether
such risks are known or unknown to me at this time. I further release the Genesee Rapids
Baseball Organization (GRBO) and its leaders, employees, volunteers, and agents from any
claim that my child may have or that I may have against them as a result of injury or illness
incurred during the course of participation in the activities. This release of liability shall include
(without limitation) any claims of negligence or breach of warranty. This release of liability is also
intended to cover all claims that members of the child’s or my family or estate, heirs,
representatives or assigns may have against the Genesee Rapids Baseball Organization or its
leaders, employees, volunteers or agents. I further agree to indemnify and hold harmless the
GRBO and its leaders, employees, volunteers or agents from any and all claims arising from my
participation in it activities and programs or as a result of injury or illness of my child during such
activities.
First Aid and Emergency Medical Treatment: I do hereby give permission for agents of GRBO to
seek and secure any needed medical attention or treatment for the named child on this form,
including hospitalization. In doing so, I agree to pay all fees and costs arising from this action to
obtain medical treatment.
I represent that I am the parent / guardian of the named child. I have read the above
permission / waiver form and am fully familiar with the contents thereof. I give permission for the
named child to participate in the activities of GRBO, including any special events / activities
described above. In consideration for allowing the participation of the named child in these
activities, I hereby consent that this permission / waiver form shall be binding upon me, my
family, heirs, legal representatives, successors and assigns.

YES

In the space below, please list any allergies your child has or any medication being taken. Also, please list any special needs of any kind, whether emotionally, physically, or
socially that may limit their participation. If there are none of these, please respond NONE.