MP Groundlevel Camp Baton Rouge, LA

MP Groundlevel Camp in Baton Rough, LA

Please accurately complete the registration form below. Information may be used for recruiting and marketing purposes only.
Player Shirt Size:*
Have you create a profile on minorityprospects.com?*
How many people will attend College Game with Minority Prospects (Please list Names include prospects participating in camp)
Hometown (City + State)
Participant's Name:*

First NameMiddle NameLast Name
Participant's Date of Birth:*

MonthDayYear
Participant's Expected Graduation Year*
Height (ex. 5'7)
Weight (lbs)
Position(s) Played *
Social Media Handle(s)
Mailing Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Participant's Mobile Phone:*

Area CodePhone Number
Participant's Email
example@example.com
Parent/Guardian (1) Name*

First NameLast Name
Parent/Guardian (1) Mobile Number*

Area CodePhone Number
Parent/Guardian (1) Email*
example@example.com
Parent/Guardian (2) Name

First NameLast Name
Parent/Guardian (2) Mobile Number

Area CodePhone Number
Parent/Guardian (2) Email
example@example.com
LIABILITY WAIVER/AUTHORIZATION FOR EMERGENCY TREATMENT

Must be 18 years or older to complete.

By submitting this form you give your consent for your child's participation in any and all Minority Baseball Prospect (MBP) functions or activities. In the event of any injury or sickness occurring during any MBP functions or activities, you authorize any official(s) to administer first aid and if necessary to transport your child to the nearest emergency treatment.

You release MBP and any person(s) connected with MBP of any responsibility from accident or injury incurred as a result of your child's participation in any and all activities, including transportation to and from any MBP functions or activities.

You certify that your child has been given a physical examination and is physically able to participate in all related activities. Please notify in writing below any prescribed medications and / or physical conditions of which the MBP staff should be notified.

WAIVER/RELEASE FOR COMMUNICABLE DISEASES INCLUDING COVID-19

ASSUMPTION OF RISK / WAIVER OF LIABILITY / INDEMNIFICATION AGREEMENT

In consideration of being allowed to participate in this MBP Baseball Event on behalf of my child's athletic program and related events and activities, the undersigned acknowledges, appreciates, and agrees that:

Participation includes possible exposure to and illness from infectious diseases including but not limited to MRSA, influenza, and COVID-19. While particular rules and personal discipline may reduce this risk, the risk of serious illness and death does exist; and,

I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume full responsibility for my participation; and,

I willingly agree to comply with the stated and customary terms and conditions for participation as regards protection against infectious diseases. If, however, I observe and any unusual or significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the nearest official immediately; and,

I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE AND HOLD HARMLESS Minority Baseball Prospects, their officers, officials, agents, and/or employees, volunteers, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors of premises used to conduct the event (“RELEASEES”), WITH RESPECT TO ANY AND ALL ILLNESS, DISABILITY, DEATH, or loss or damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OF RELEASEES OR OTHERWISE, to the fullest extent permitted by law.

I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IF FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.
By signing this, I affirm I am the legal parent/guardian of the above listed student-athlete and that I am 18 and older.*

Clear
Print Guardian's Name

First NameLast Name
Please list any known medical conditions of the participant. Please write N/A if none. *
Please list any known allergies of the participant. Please write N/A if none.*
Please share any additional information you feel the MBP staff needs to know:
Should be Empty:

MP Groundlevel Camp in Baton Rough, LA