Georgetown Police Department
Summer Baseball Clinic
Date: |
July 12th to July 15th 2010 |
Ages: |
7 - 12 NO EXCEPTIONS |
Location: |
High School JV Baseball Field |
Time: |
9 AM till 2 PM |
Sign up deadline: |
June 25th 2010 |
Donation: |
$50.00 per child |
Please make checks payable to the Georgetown Police Association
Name __________________________________ Age________ DOB__________
Address ______________________________________________________________
Phone ______________________________________________________________
Emergency Contact ______________________ Phone ________________________
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 ________
Participants will provide their own lunch and water
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