l. I understand that Ithaca College does not require my participation in Coach Valesente’s 2018 Prospect Clinic hosted by Ithaca College and the Baseball Staff on January 14, 2018 and that my participation in the Activity is totally voluntary. I understand that Ithaca College is not responsible for any theft, damage or loss to my personal property while participating in Activity. I understand that alcohol and drugs (any substance use) are strictly prohibited during Activity and that the Ithaca College Student Conduct Code must be adhered to at all times during my participation in Activity. I understand that if I choose to participate in any other events, activities, excursions, or modes of transportation during the course of the Activity, which are not included or part of the scheduled Activity, that I do so voluntarily and that Ithaca College is not responsible for me or my actions. 2. I fully understand and appreciate the damages, hazards, and risks inherent in activities associated with the Activity, in transportation to and from Activity, and in any actions I undertake during the time period which are or are not part of my direct participation in Activity, which dangers include but are not limited to bodily injury, including sprains, strains, contusions, bone fractures, dislocations, head, hand, arm, trunk, leg, foot or eye injuries and serious or even mortal injuries, including death, property damage, accident, delay, sickness, acts of terrorism, government intervention and acts of God. Other risks may include but are not limited to event schedule changes or cancellations. 3. Knowing the dangers, hazards, and risks of such activities, and being permitted to participate in Activity, on behalf of myself, my family, heirs, and personal representatives or administrators, I the undersigned, agree to assume all risks and responsibilities surrounding my participation in Activity, transportation to and from Activity, and I hereby release, waive, forever discharge, and covenant not to sue Ithaca College, its governing board, officers, agents, employees, and students acting as employees (hereafter called “Releasees”), from and against any and all liability for harm, injury, damage, delays, claims, demands, actions, causes of action, costs, and expenses of any nature that I may have or that may accrue to me, arising out of or related to any loss, damage, or injury, including but not limited to suffering and death, that may be sustained by me or any property belonging to me, whether caused by negligence or carelessness of Releasees, or otherwise, while in, on, upon, or in transit to or from the premises where Activity, or any adjunct to Activity is conducted. 4. I understand and agree that Releasees have no medical personnel at location of Activity. I understand and agree that Releasees are granted permission to authorize emergency medical or dental treatment, if necessary, and that such action by Releasees shall be subject to terms of this Agreement. I understand and agree that Releasees assume no responsibility for injury or damage which arises out of or in connection with authorized emergency medical or dental treatment. 5. It is my express intent that this Release shall bind me, members of my family, if am alive, and my estate, family, heirs, administrators, personal representatives, or assigns, if I am deceased, and shall be deemed as a “Release, Waiver, Discharge and Covenant Not to Sue” the above-named Releasees. I further agree to save and hold harmless, indemnify, and defend Releasees from any claim by me or my family, arising out of my participation in the Activity. 6. In signing this Release, I acknowledge and represent that I have fully informed myself of this waiver’s content and hold harmless agreement by reading it before I sign and understand that l sign this document as my own free act and deed; no oral representations, statements, or inducements, apart from the foregoing written statement, have been made. I understand the risks of participating in Activity but want to do so despite possible dangers and risks and despite this Release. 7. In signing this release, I state that I have no health related reasons or problems which preclude or restrict my participation in Activity, that I have adequate health insurance necessary to pay any medical costs that may be attendant as a result of injury to me, that I am fully competent to sign this Agreement, and that I execute this release for full, adequate, and complete consideration fully intending to be bound by same. 8. I agree that this Release shall be construed in accordance with the laws of the State of New York. If any term or provision of this Release shall be held illegal, unenforceable, or in conflict with any law governing this Release the validity of the remaining portions shall not be affected thereby.
COACH VALESENTE’S 2018 WINTER PROSPECT CLINIC FEATURING ITHACA COLLEGE STAFF COACHES AND SENIOR MEMBERS OF THE IC BASEBALL TEAM
January 14, 2018 Athletic and Events Center Ithaca College Baseball Office Ceracche Athletic Center-208 953 Danby Road Ithaca, NY 14850
THIS IS A RELEASE OF LEGAL RIGHTS. READ AND BE SURE YOU UNDERSTAND IT BEFORE SIGNING
Place Stamp Here
ITHACA COLLEGE LIABILITY RELEASE, WAIVER, DISCHARGE AND COVENANT NOT TO SUE
OPEN TO HIGH SCHOOL SOPHOMORES, JUNIORS, SENIORS AND JUNIOR COLLEGE PLAYERS GEORGE VALESENTE - DIRECTOR 607-274-3749 BASEBALL OFFICE
[email protected] SCHEDULE & SESSION REGISTRATION Three separate session(s) offered. Select session(s) by checking the appropriate box(s) below.
•• •
Infield -- 9:30 – 11:30am Hitting – 12:00 – 2:00pm Pitching/Catching 2:15 – 4:15pm
All participants and families traveling from outside the area should access the Ithaca College website (WWW.ITHACA.EDU) for travel directions and a listing of accommodations. Select General Information to access driving directions – then click on About Ithaca, NY…scroll down click on Guide to Ithaca, NY then Hotels and Motels Name:____________________________________
BRING
· · ·
LODGING INFORMATION
Snack in between sessions Catchers Gear Bat/helmet/Glove
Address:____________________________________ City_________________________ State__________ Zip Code ___________________________________ Home Phone:________________________________
Any questions call Coach Valesente at the Ithaca College Baseball Office at 607-274-3749 Or email
[email protected].
Cell________________________________________
COST
Bat/Throw:_________________/________________
$ 80.00 – One session $ 120.00 – Two sessions $ 150.00 – Three sessions
NO REFUNDS due to space limitations. Your payment will secure a place if available. All personal checks should be made payable to Coach Valesente Baseball Clinic. Please be sure to return the Registration, Medical, Insurance and liability waiver forms properly signed with your payment to my attention, Ceracche Athletic Center-208, 953 Danby Road, Ithaca College, Ithaca, NY 14850. Clinic Confirmation will be emailed (with directions) oneto two weeks prior to start date.
Height:_______________
Weight:______________
Position(s):_________________/________________ Grad. Yr._________________ Age:______________ School:_________________________________ Email______________________________________ Amount of Check Enclosed: $___________________ Confirmation will be emailed one to two weeks before camp date. MEDICAL CONSENT/INSURANCE INFO. Camper Name:___________________________ Policy Holder:____________________________ Insurance Co.____________________________ Group Name:_____________________________ Policy Contract #:_________________________
CONSENT, RELEASE AND INDEMNIFICATION AGREEMENT Please read this form carefully and be aware that, by signing up and participating in the recreational or athletic program(s) (herein referred to as the “Program”) sponsored by George Valesente, who does business as Coach Valesente Baseball Clinics (herein referred to as the “Coach Valesente”), you will be, among other things, waiving and releasing all claims arising out of the Program. In consideration of Coach Valesente accepting the application of the below-named participant (herein referred to as the “Participant”) for participation in the Program and agreeing to sponsor and provide the Program, the below-named undersigned, jointly and severally (if more than one) hereby represent and agree as follows: Authority and Consent. The undersigned is (or are) the parent(s) or legal guardian(s) of the Participant and the undersigned is (or are) all of the only person(s) authorized to sign this Agreement. The undersigned consent(s) to the Participant’s participation in the Program. Acknowledgment/Assumption of Risk of Injury. The undersigned and the Participant have been fully informed of all of the details of the Program and the undersigned and the Participant have received satisfactory answers to all questions they may have concerning the Program and the risks inherent in the Program. The undersigned and the Participant recognize and acknowledge that the Program involves risk of bodily injury and death or damage to or loss of property. The undersigned and the Participant agree to, and do hereby, assume the full risk of any such loss, damage or injuries, including death, and of all costs, damages, and losses or expenses that the undersigned or the Participant may sustain at any time as a result of participating in any and all activities connected with or associated with the Program. Waiver and Release of Claims for Injury. Each of the undersigned, individually and on behalf of the Participant, hereby agree to and do waive, release and relinquish all claims of every kind, known and unknown, present and future, that the undersigned or the Participant may have against Coach Valesente, his heirs or personal representatives, or any of his agents, servants, employees or contractors arising out of, connected with, or in any way related to the Program or the Participant’s participation therein.
Indemnity and Defense. Each of the undersigned, individually and on behalf of the Participant, hereby further agree to indemnify and hold harmless and defend Coach Valesente, his heirs, executors, personal representatives, agents, servants, or employees (each of whom is referred to herein as an “Indemnitee”) from and against any loss or damage to any person or property that is connected with, or is in any way related to the Program or to the Participant’s participation therein. The undersigned’s agreement to so indemnify an Indemnitee includes, without limitation, each of the undersigned’s responsibility to pay for all costs and expenses, including reasonable attorney’s fees and expenses of any expert or witness, that an Indemnitee may incur in the defense of any claim, action or proceeding commenced by the Participant, the undersigned, the Participant’s legal representative, or any third party, that is in any way connected with or related to the Program. The undersigned has (or have) read and fully understand(s) all of the provisions in the Agreement and execute(s) it of the undersigned’s own free will and without any reservation. Dated:______________________________________ Print Name of Participant:________________________________ Signature____________________________________ The following persons are referred to herein as the “Undersigned”: Print Name of Parent or Legal Guardian of Participant ___________________________________________ Signature____________________________________ Print Name of Parent or Legal Guardian of Participant ___________________________________________ Signature____________________________________