Georgetown Police Department
Summer Baseball Clinic
Date: July 7th to July 10th 2008
Ages: 7 –12 No Exceptions
Location: High School JV Baseball Field
Time: 9 AM to 2 PM
Sign up by: June 27th 2008
Donation: $40.00 /per child
Please make checks payable to the Georgetown Police Association
Name: ___________________ Age:______ DOB:________
Address: ____________________________________________
Phone: ____________________________________________
Emergency Contact: _________________ Phone: ___________
Participants are required to provide their own lunch and water
Waiver:
In consideration of being permitted to participate in the Georgetown Police Baseball Clinic I hereby for myself, my heirs, and personal representatives assume any and all risks which might be associated with the event and I further waive, release, discharge, and covenant not to sue the Georgetown Police Department, its officers, employees, sponsors, organizers, volunteers, or other representatives, or their successors and assigns, for any and all injuries or damages of any kind whatsoever suffered as a result of taking part in the event and any related activities.
Parent / Guardian Signature____________________________ Date____________
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