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Camp Registration Form

Campers Name:		Current Grade:
Street Address:
City:		State:
Cell Phone:		Zip:
Home Phone:		E-Mail:

2012 Winter Hitting Baseball Camps

(Click Here to find out who's in your camp)

Camps	Location	Date	Time	Amount	Slots Left
Camp 17 (2nd-8th grade)	St. James Academy	February 19th	2-3 PM	$30	FULL
Camp 18 (2nd-8th grade)	St. James Academy	February 19th	3-4PM	$30	FULL
Camp 19 (2nd-8th grade)	St. James Academy	February 19th	4-5PM	$30	FULL
Camp 20 (2nd-8th grade)	St. James Academy	February 19th	5-6PM	$30	FULL
Camp 21 (2nd-8th grade)	St. James Academy	February 26th	2-3 PM	$30	FULL
Camp 22 (2nd-8th grade)	St. James Academy	February 26th	3-4PM	$30	FULL
Camp 23 (2nd-8th grade)	St. James Academy	February 26th	4-5PM	$30	FULL
Camp 24 (2nd-8th grade)	St. James Academy	February 26th	5-6PM	$30	FULL

WAIVER AND RELEASE OF LIABILITY
In consideration of being allowed to participate in any way in The 3&2 Baseball Club of Johnson County, the undersigned:

A.	Agrees that prior to participating, he/she will inspect the facilities and equipment to be used, and if he/she believes anything to be unsafe, he/she will immediately advise coach or supervisor of such condition(s) and refuse to participate.
B.	Acknowledge and fully understand that the participant will be engaging in activities that involve risk of serious injury, including permanent disability and death, and severe social and economic losses which might result not only from their own actions, inaction, or negligence of others, the rules of play, or the condition of the premises or of any equipment used. Further that there may be other risks not known to or is not reasonably foreseen at this time.
C.	Assume all the foregoing risks and accept personal responsibility for the damages following such injury, permanent disability or death.
D.	Release, waive, discharge and covenant not to sue The 3&2 Baseball Club of Johnson County, Inc., its affiliated clubs, respective administrators, directors, agents, coaches, and other employees of the organization, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners, and lessors of premises used to conduct the event, all of which are hereinafter referred to as “releasees from demands, losses or damages on account of injury, including death or damage to property, caused or alleged to be caused in whole or in part by the negligence of the releasee or otherwise”.

By clicking this button, I agree to the terms above.
Enter Signature of Parent or Guardian.
Enter Name of Participant

Please help a deserving child attend a camp at 3&2 or an area high school who otherwise could not afford to do so. All proceeds from this donation go towards fees for youth baseball at 3&2, a 501(c)3 non-profit organization. On behalf of the many players and families who need this help, thank you!

Donation: $25 $50 $75 $100 Other $

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