Summer 2022 Youth Baseball Clinic Information and Registration

Online Registration

Parent's Name

Child's Name, Age, and DOB (If registering more than one child, include information for each child that is being registered)

Mailing Address

Your email

Phone Number

Emergency Information

First Emergency Name and Phone Number

Second Emergency Name and Phone Number

Medical Information

Medical Insurance: Policy #

Carrier

Clinic Date(s)

Clinic Week(s) (Choose from Week 1 (5-12), Week 2 (5-12), Week 3 (5-12), Week 4 (5-12), and 12-15 Year Old Clinic Week) and include child's name if registering more than one child.

Payment Options

*****Payments are Non-Refundable******

I certify that my child is in excellent physical health, and may participate in strenuous physical activity, including baseball to be played at the clinic. Permission is granted for my child to received emergency medical treatment if needed. I hereby release Bourne Braves baseball and all affiliated entities from any and all liability claims, demands, and causes of action to personal injury, property damage, and/or loss suffered by child during the clinic. I confirm that I am the parent/guardian of the minor names above, and I and the minor named above agree that the grant and release obtained therein binds me and the minor to all of its terms. I also agree to let my child's photograph be used for publicity items without my approval or compensation provided no name be used with said photograph.

Parent/Guardian Signature and Date

Payment (type "Pay Now by Credit Card", "Will Mail Check", "Will Pay on First Day of Camp" in the field below)

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