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I approve my child's
participation at the Baseball Resource showcase event. I expressly
represent to Baseball Resource that my child is in good health and
physically capable of participating in any and all activities sponsored
and associated with Baseball Resource. I authorize Baseball Resource
or its representative to request and obtain emergency medial care/treatment
for myself or my child as the circumstance may require and in connection
with this authorization I hereby waive and release the right to authorize
to authorize and give consent for the delivery of medical care/treatment,
of whatsoever kind and nature, to my child. I understand that Baseball
Resource, its staff members, associates, workers, and anyone associated
with Baseball Resource is harmless and release them from any liability
from injury as a result of my child's participation in any activity
sponsored by Baseball Resource. This release of liability is based
on the recognition that sport activities of any kind or nature clearly
involves the risk of injury or hazards to the participants and spectators
and I acknowledge that my child and I assume such risk when we participate
in activities sponsored by Baseball Resource. It is understood that
once a player signs this agreement and makes payment there will be
no refund for any reason. By signing this agreement the parents and
player agree to abide by all the above, and also agree to give Baseball
Resource the right to talk to or release information to any or all
college programs. Major League teams and scouts, and to put their
child's profile/information on the Internet or in any Baseball Resource
literature. You must sign below, or if under age 18, the parent or
guardian of the participant must sign certifying that the above information
has been read, complied with, and agreed to.
Parent or Legal Guardian Signature __________________________________
Date _____________ Fathers First Name: _____________________________
Players Name (print) ___________________________________________
Date ________________ Mothers First Name: ___________________
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Medical Information
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Emergency Contact _________________________________________
Phone # _________________________________________
Is the participant taking any medication? (Yes/No) If yes,
what? ____________________________
How often is this medication taken? _______________
What is the purpose of the medication? ________________________________________________
Is the participant allergic to anything and what? __________________________________________
Are there any physical limitations, special circumstances,
or other information we should be aware of?
___________________________________________________________________________________
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Deadline
to Register is July 15th, 2005. Players will be placed on each
counties roster. Please enclosed this info sheet and check
for the amount of $75.00 for each player.
Paid
by: PayPal -
Check
–
Money
Order
(Circle
One)
FAX
form
to:
714-844-4726
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Make Checks
payable to:
Baseball Resource
Please send the information to:
Baseball Resource
P.O. Box 1239
Bellflower, Ca., 90706
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