2021 Cobb PAL Baseball Camp Registration Form
Please complete the form below.
Participating Child's Name
Date Picker Icon
Please select one answer
Asian or Pacific Islander
Black or African American
Hispanic or Latino
White or Caucasian
A race/ethnicity not listed here
Participating Child's Shirt Size
Youth Extra Large
Adult Extra Large
What is the name of your child's school?
Street Address Line 2
State / Province
Postal / Zip Code
Parental Consent, Photo/Media Release
I have read, understood, and accepted the Membership Rules.
I, the parent and or/legal guardian of the above named son/daughter hereby grant permission for his/her participation in the activities of Cobb PAL and their related activities. On Behalf of my son/daughter and myself, I acknowledge that he/she will be using facilities at his/her own risk and I, on my own behalf, hereby release, discharge and indemnify Cobb PAL from all liability for injury to person of damage to entrant. You are authorized on my behalf and at my account to take measures and arrange such medical and/or hospital treatment, as you may deem advisable for the well being of my son/daughter.
I understand that Cobb PAL will take & use action/still photos and video of my child participating in regular scheduled PAL practices/events. Images will be used for official club purposes such as: website, internet, social network sites, brochures, flyers, newsletters, marketing materials, media & press releases. Furthermore I understand, I consent to the organizations right to publish such images and video for announcements, marketing & advertising.
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