Less Than 15 Spots Remaining!
MBI Elite College Skills Clinic
August 9th - 10th Laurel, MD
Primary Pitcher/Catcher is full. Email keith.calta41@gmail.com to be added to each positions waitlist.
Players may still register for another primary position and remain on waitlist.
Name
*
First Name
Last Name
Phone Number
*
Email
*
Used for all camp communication
Grad Year
*
Please Select
2024
2025
2026
2027
2028
GPA
*
Test Scores
Specify PSAT, SAT, ACT
Friday Session - PM session is unavailable at this time
*
AM
Travel Team
*
Primary Position (Pitcher/Catcher is full. Email keith.calta41@gmail.com for waitlist)
*
Please Select
1B
2B
3B
SS
OF
Used for game play. Teams are made by position not grad year.
Secondary Position
*
Please Select
1B
2B
3B
SS
OF
No secondary pitchers or catchers
Waiver and Indemnity Agreement
*
By signing this Waiver and Indemnity Agreement, I acknowledge and agree to protect, defend, indemnify and hold harmless MBI CAMPS, LLC, Keith Calta, Kathleen McLaughlin, their successors, officers, agents and employees, including all persons and/or entities in privity thereto, from and against any and all suits, claims and losses, demands, damages, causes of action, actions, warranties, representations, liabilities and expenses, including attorney’s fees and court costs, whether known or unknown, whether at any time existing in the past, present or future, which in any way may arise out of, directly or indirectly, any accident or injury which they may sustain, suffer or incur while participating in any manner, in the Maryland Black Ice Camp. The undersigned also agrees that they have read the terms of this agreement and they fully understand these terms; and further agree and understand that the undersigned, and anyone on their behalf, will not be able to maintain an action against the MBI CAMPS, LLC, Keith Calta, Kathleen McLaughlin, their successors, officers, agents and employees, including all persons and/or entities in privity there to as described above, for any accident or injury they may sustain while participating in any manner in the Maryland Black Ice Camp. The undersigned also authorizes permission to record on photography film and/or video, images of my/minor’s participation in the above listed project and/or activity, only. I further agree that any or all the material photographed may be used in any form, as part of any future publications, brochure or other printed/ electronic materials used to promote MBI CAMPS LLC, and further that such use shall be without payment of fees, royalties, special credits or other compensation. By signing this agreement, I acknowledge the contagious nature of COVID-19 and knowingly and voluntarily assume the risks that my child(ren) and I may be exposed to, or infected by COVID-19 while attending the MBI Camps, LLC, and that such exposure or infection may result in personal injury, illness, permanent disability, and death. I understand that the risks of becoming exposed to or infected by COVID-19 at the MBI Camps, LLC camp may result from the actions, omissions, or negligence of myself and others, including, but not limited to MBI Camps, LLC employees, volunteers, and program participants and their families. I knowingly and voluntarily agree to assume all of the foregoing risks and accept sole responsibility for any injury to my child(ren) or myself including, but not limited to, personal injury, disability, and death, illness, damage, loss, claim, liability, or expense, of any kind, that I or my child(ren) may experience or incur in connection with my child(ren)s attendance at the MBI Camps, LLC camp. I further acknowledge that I will not have my child(ren) attend/participate in the Maryland Black Ice Camp if they have tested positive for COVID-19, shown symptoms of COVID-19 or been exposed to any persons with COVID-19 within 14 days prior to the camp. MBI Camps, LLC carries USA Softball Clinic/Camp Accident Insurance. This plan has a $500 deductible and 90/10 coinsurance. Pays medical bills on an Excess Basis for insured participants when they are injured during the practice or play of softball. Excess Accident insurance is also known as secondary insurance. If a claimant has other insurance, then USA Softball’s Accident insurance is secondary. A claimant is required to follow their primary insurance carrier’s eligibility criteria (e.g., if required to be treated by in-network providers). If the claimant has no other insurance, the USA Softball’s Accident insurance is primary. On my behalf, and on behalf of my minor child(ren)s, I hereby release, discharge, and hold harmless MBI Camps, LLC, Keith Calta, Kathleen McLaughlin and their respective, employees, agents, representatives, successors and assigns of and from the Claims, including all liabilities, claims, actions, damages, costs or expenses of any kind arising out of or relating thereto. If any provision of this Agreement or the application thereof is held invalid, the invalidity shall not affect other provisions or applications and to this end the provisions of this Agreement are declared to be severable. I CERTIFY I AM THE PARENT/LEGAL GUARDIAN OF THE REGISTERED PARTICIPANT AND I HAVE READ THIS WAIVER AND INDEMNITY AGREEMENT, FULLY UNDERSTAND ITS TERMS, AND UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS. I INTEND IT TO BE A COMPLETE AND UNCONDITIONAL RELEASE AND WAIVER OF ALL LIABILITY TO THE GREATEST EXTENT ALLOWED BY LAW.
Waiver and Indemnity Agreement Signature
*
Payment
prev
next
( X )
USD
Cancellation Policy: More than 60 days prior to camp: $75 non-refundable administrative fee less processing fee59 - 30 days prior to camp - 50% refund less processing feeUnder 30 days prior to camp - No cash refunds or camp credits
Payment Methods
Debit or Credit Card
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Please click one of the PayPal options to complete payment and
submit
the form.
Continue
Continue
Should be Empty: