ALL-STAR ACTIVITIES Participation Form
ONE FORM REQUIRED PER FAMILY.
PLEASE BE SURE TO CONNECT WITH US ON SOCIAL MEDIA.
ALL-STAR ACTIVITES UPDATES ARE POSTED FREQUENTLY.
Mom's Name (First & Last)
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All-Star Kid (Participant #1)
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All-Star Kid (Participant #2)
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All-Star Kid (Participant #3)
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Address
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City
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State
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E-mail
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Phone Number
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How did you hear about SWING?
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Please Select
Social Media
Google
Referral/Word of Mouth
Community Event
Other
Are you currently registered to receive SWING HOMERUNS? Your answer will not affect your ability to participate in All-Star Activities.
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Yes
No
I give consent to be contacted via the following: Phone Call/Text/Email
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Agree
We grant permission to SWING! Foundation, Inc. hereinafter known as the ‘Media’ to use our images (photographs and/or video) for use in Media publications including Videos, Email Blasts, Event Planning, Newsletter, Magazines, Social Media, General Publications, Website and/or Affiliates. We hereby waive any rights to inspect or approve the finished photographs or electronic matter that may be used in conjunction with them now or in the future, whether that use is known or unknown, and We waive any rights to royalties or other compensation arising from or related to the use of the image in conjunction with them now or in the future, whether that use is known or unknown to us. * We refers to the applicant listed above and minors in her care.
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Agree
Waiver & Release of Liability
PLEASE READ CAREFULLY. THIS IS A LEGALLY BINDING DOCUMENT.
I agree to the following for myself, and all of the participants named above: To the maximum extent allowed by law, to release and discharge SWING! Foundation, Inc., its officers, staff and volunteers, from all claims, liabilities, and losses asserted by or on behalf of me in any way arising from or connected with our participation in SWING! All-Star Activities, the use of its equipment and facilities. I understand that by signing this document, I surrender our right to make a claim or file a lawsuit against SWING! Foundation, Inc. its officers, staff and volunteers for personal injury, illness, property damage, wrongful death, products liability or any other theory, to the maximum extent allowed by law. I further agree to hold harmless and indemnify (that is, defend and pay or reimburse) SWING! Foundation, Inc., its officers, staff and volunteers from any claim and from any liability, loss, damages or expenses (including attorneys’ fees and insurance deductibles) resulting from 1) a claim brought by a participant or any other person for loss or damage caused by my acts or missions; and 2) a claim brought by me in any way arising out of my participation in an activity sponsored by SWING! Foundation, Inc., the use of equipment and facilities. In the event that I should require medical care or treatment, I authorize SWING! Foundation, Inc., its officers, staff or volunteers to seek immediate medical attention and I agree to be financially responsible for any costs incurred as a result of medical attention or treatment. I am aware and understand that I should carry my own health insurance. I have carefully read, understand and voluntarily agree to this agreement and acknowledge that it shall be effective and binding upon me, and those I have named above.
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Agree
Signature
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SUBMIT
SUBMIT
Should be Empty: