Greg Wallace's Holiday Fundamental Baseball Camp Holiday ...
Greg Wallace’s Holiday Fundamental Baseball Camp @ Augustana College’s Carver Center When: December 28th and 29th Who: Ages 8-13 years old Time: 9-11:30 AM Instructors: Augustana Baseball Staff (Greg Wallace and Mike Meyers) and Players
Camp Features
Emphasis on teaching the basic fundamentals and essential skills of the game Each instructional session includes drills needed to perfect players’ skills Campers will be separated for instruction based on age and ability Campers should provide their own glove, bat and helmet Hats, tennis shoes & baseball pants are recommended Registration includes camp t-shirt
Holiday Fundamental Baseball Camp Registration Form (CAMP LIMITED TO THE FIRST 75 REGISTRATIONS) (DEADLINE FOR T-SHIRT IS DEC. 18th)
NAME: _________________________________________________________________ AGE (on 1st day of camp): __________________________________________________ GRADE 2015: ____________________________________________________________ ADDRESS: ______________________________________________________________ CITY: __________________________________________________________________ STATE/ZIP: _____________________________________________________________ HOME PHONE: _________________________________________________________ CELL PHONE: __________________________________________________________ HOME EMAIL: __________________________________________________________ FAMILY MEDICAL INSURANCE COMPANY: _______________________________ POLICY #: _______________________________________ T-Shirt Size: ______ YOUTH SIZE: YXL Price of Camp: $80 per camper ADULT SIZE: S, M, L, XL ****Please detach and mail registration form and signed waiver with full payment to: Holiday Fundamental Baseball Camp Attn: Greg Wallace 639 38th Street Rock Island, IL One form per camper, please. Checks should be made out to: Greg Wallace, Baseball Camp
WAIVER & RELEASE OF ALL CLAIMS Please read this carefully and be aware that by signing this Waiver & Release and participating in the sports camp, you will be expressly assuming the risk and legal liability and waiving & releasing all claims for injuries, damages, or loss which you and your child might sustain as a result of any & all activities connected to the sports camp. The sports camp is a private camp coordinated & managed by Greg Wallace. Although the sports camp may be conducted, in whole or part, on the campus of Augustana College, the camp is not operated or affiliated with Augustana College. I understand that engaging in the sports camp may involve inherent risks and dangers to my child, I am also aware that hazards may exist, may be unmarked and occur without warning, and that appropriate safety enforcement of rules by the sports camp does not and cannot guarantee the safety of my child. I understand and acknowledge that neither Augustana College, the Greg Wallace Holiday Baseball Camp nor any of its affiliates are insurers of my child’s conduct. TO THE FULLEST EXTENT PERMITTED BY LAW, I HEREBY RELEASE, WAIVE, COVENANT NOT TO SUE, AND DISCHARGE, GREG WALLACE HOLIDAY BASEBALL CAMP, AND ITS AFFILIATES AND ALL OF THEIR TRUSTEES, DIRECTORS, MANAGERS, OFFICERS, EMPLOYEES, VOLUNTEERS, AGENTS AND REPRESENTATIVE (COLLECTIVELY, THE “RELEASEES”) FROM ANY AND ALL LIABILITY, CLAIMS, DEMANDS, AND CAUSES OF ACTION WHATSOEVER ARISING OUT OF OR RELATED TO ANY LOSS, DAMAGE, ILLNESS OR INJURY, INCLUDING DEATH, THAT MAY BE SUSTAINED BY ME OR MY CHILD OR LOSS OR DAMAGE TO ANY PROPERTY BELONGING TO ME OR MY CHILD, WHETHER CAUSED BY THE NEGLIGENCE OF RELEASEES OR OTHERWISE, ARISING OUT OF OR RELATED TO MY CHILD ENGAGING IN THE ACTIVITIES AT SPORTS CAMP.
__________________________________________________________________ Parent/Guardian Signature
Date
Camp Features
Emphasis on teaching the basic fundamentals and essential skills of the game Each instructional session includes drills needed to perfect players’ skills Campers will be separated for instruction based on age and ability Campers should provide their own glove, bat and helmet Hats, tennis shoes & baseball pants are recommended Registration includes camp t-shirt
Holiday Fundamental Baseball Camp Registration Form (CAMP LIMITED TO THE FIRST 75 REGISTRATIONS) (DEADLINE FOR T-SHIRT IS DEC. 18th)
NAME: _________________________________________________________________ AGE (on 1st day of camp): __________________________________________________ GRADE 2015: ____________________________________________________________ ADDRESS: ______________________________________________________________ CITY: __________________________________________________________________ STATE/ZIP: _____________________________________________________________ HOME PHONE: _________________________________________________________ CELL PHONE: __________________________________________________________ HOME EMAIL: __________________________________________________________ FAMILY MEDICAL INSURANCE COMPANY: _______________________________ POLICY #: _______________________________________ T-Shirt Size: ______ YOUTH SIZE: YXL Price of Camp: $80 per camper ADULT SIZE: S, M, L, XL ****Please detach and mail registration form and signed waiver with full payment to: Holiday Fundamental Baseball Camp Attn: Greg Wallace 639 38th Street Rock Island, IL One form per camper, please. Checks should be made out to: Greg Wallace, Baseball Camp
WAIVER & RELEASE OF ALL CLAIMS Please read this carefully and be aware that by signing this Waiver & Release and participating in the sports camp, you will be expressly assuming the risk and legal liability and waiving & releasing all claims for injuries, damages, or loss which you and your child might sustain as a result of any & all activities connected to the sports camp. The sports camp is a private camp coordinated & managed by Greg Wallace. Although the sports camp may be conducted, in whole or part, on the campus of Augustana College, the camp is not operated or affiliated with Augustana College. I understand that engaging in the sports camp may involve inherent risks and dangers to my child, I am also aware that hazards may exist, may be unmarked and occur without warning, and that appropriate safety enforcement of rules by the sports camp does not and cannot guarantee the safety of my child. I understand and acknowledge that neither Augustana College, the Greg Wallace Holiday Baseball Camp nor any of its affiliates are insurers of my child’s conduct. TO THE FULLEST EXTENT PERMITTED BY LAW, I HEREBY RELEASE, WAIVE, COVENANT NOT TO SUE, AND DISCHARGE, GREG WALLACE HOLIDAY BASEBALL CAMP, AND ITS AFFILIATES AND ALL OF THEIR TRUSTEES, DIRECTORS, MANAGERS, OFFICERS, EMPLOYEES, VOLUNTEERS, AGENTS AND REPRESENTATIVE (COLLECTIVELY, THE “RELEASEES”) FROM ANY AND ALL LIABILITY, CLAIMS, DEMANDS, AND CAUSES OF ACTION WHATSOEVER ARISING OUT OF OR RELATED TO ANY LOSS, DAMAGE, ILLNESS OR INJURY, INCLUDING DEATH, THAT MAY BE SUSTAINED BY ME OR MY CHILD OR LOSS OR DAMAGE TO ANY PROPERTY BELONGING TO ME OR MY CHILD, WHETHER CAUSED BY THE NEGLIGENCE OF RELEASEES OR OTHERWISE, ARISING OUT OF OR RELATED TO MY CHILD ENGAGING IN THE ACTIVITIES AT SPORTS CAMP.
__________________________________________________________________ Parent/Guardian Signature
Date
