Richmond Showcase- Camp

Richmond Camp Registration (1)

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Players Name*
First Last
Players Email*
Players Cell Phone*
Players Grad Year*
Players High School*
Parents Name*
First Last
Parents Email*
Parents Cell Phone*
Statement of Wellness for Participation and to Administer Treatment:*
- I verify, to the best of my knowledge, my child is able to participate fully in the Elite Baseball baseball program. In case of medical emergency and the event that the parent/guardian cannot be immediately contacted, I hereby give my permission for emergency treatment (i.e. EMT, First Responder, E.D) to be administered to my child. I release Elite Baseball, LLC and their employees from all liability for any personal injury, illness, loss or damage to property. I agree to assume liability for any expenses incurred in such an emergency (transportation, hospitalization, etc).
Please list any/all ALLERGIES, MEDICAL CONDITIONS, MEDICATIONS and SPECIAL NEEDS:
Photo/Video Release*
- I give my permission for Elite Baseball to use any photos/videos taken during the season in which my child may appear in:
Understanding of Risk*
- I understand the seriousness of risk involved in participating in this program, my personal responsibility to adhere to rules and regulations, and accept them as a participant.
*
Emergency Contact Name*
Emergency Contact's Phone Number*
*
- I authorize all medical and surgical treatment, X-ray, laboratory, anesthesia, and other medical and/or hospital procedures as may be performed or prescribed by the attending physician and/or paramedics for my child and waive my right to informed consent of treatment. This waiver applies only in the event that neither parent/guardian can be reached in the case of an emergency.
- I understand there will be no refunds and only credits if a player gets injured.
Pay in Full? Or, Pay in payments?*
- Full Payment
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Total
$0.00
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Richmond Camp Registration (1)

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