Athlete #1 Information
Athlete #2 Information
Athlete #3 Information
Athlete #4 Information
Athlete #5 Information
Please fill out all required information. Only person(s) with complete information will be authorized to pick up athlete
IDENTIFICATION IS REQUIRED FOR PICK UP
Durham Bulls Youth Baseball Camp is $150.00 per camp *This price includes lunch each day and a Durham Bulls Camp tee-shirt
Each day of Durham Bulls Youth Baseball Camp will begin at 9:00am and end at 1:30pm, pick up will continue until 2:00pm
For more information, please contact Ashley Adams at (919) 687-6555 or firstname.lastname@example.org
DURHAM BULLS BASEBALL CLUB, INC.
PARTICIPANT RELEASE OF LIABILITY
Read Before Signing
In consideration of being allowed to participate in any way in the Durham Bulls Baseball Club program, related events and activities, I the undersigned, acknowledge, appreciate and agree that:
1. The risk of injury from the activities involved in this program is significant, including the potential for permanent paralysis and death, and while particular rules, equipment, and personal discipline may reduce the risk, the risk of serious injury does exist; and,
2. 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,
3. I willingly agree to comply with the stated and customary terms and conditions for participation. If however I observe any unusual 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,
4. I, for myself on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE, INDEMNIFY, AND HOLD HARMLESS DURHAM BULLS BASEBALL CLUB, INC., their officers, officials, agents and/or employees, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors of premises used to conduct the event WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, or loss or damage to persons or property, WHETHER ARISING FROM THE NEGLIGENCE OF THE 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 IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.
FOR PARENTS/GUARDIANS OF PARTICIPANTS OF MINORITY AGE
This is to certify that I, as parent/guardian with legal responsibility for this participant, so consent and agree to his/her release as provided above of all the Releases, and, for myself, my heirs, assignees, and next of kin, I release and agree to indemnify and hold harmless the Releasees from any liabilities incident to my minor child’s involvement or participation in these programs as provided above, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES, to the fullest extent permitted by law.
BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.