Kincardine Cubs PD Day Camp (Kincardine Minor Baseball)
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Kincardine Cubs PD Day Camp
Player
Please fill out all information regarding the player who is being registered for the Kincardine Cubs Baseball Camp.
Player LAST Name:
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Player FIRST Name:
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Gender:
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Male
Female
Date of Birth:
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Must be entered YYYY/MM/DD
Mailing Address:
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City:
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Postal Code:
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Medical Concerns:
Other Notes
Parent/Guardian
Please fill out all information regarding parent/guardian of the player who is registering for the Kincardine Cubs Baseball Camp
Parent/Guardian LAST Name
*
Parent/Guardian FIRST Name
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Primary Phone Number:
*
Example: ###-###-####
Parent/Guardian Email:
*
Example:
[email protected]
Your submission will be sent to this address.
Emergency Contact
Emergency Contact Name
*
Relationship to Player
*
Emergency Contact Phone Number
*
Example: ###-###-####
Liability Waiver:
On behalf of myself and the player being registered, I recognize that baseball entails serious risks. Consequently, except as noted below, I and the player being registered relinquish all rights to a claim of any kind, including the right to a claim for bodily and material damages, regardless of the cause, against Baseball Ontario, Kincardine Minor Baseball or the Kincardine Cubs and their respective officers, coaches, agents, representatives, and sponsors, even if such damages result from negligence of
Baseball Ontario, Kincardine Minor Baseball or the Kincardine Cubs and their respective officers, coaches, agents, representatives, and sponsors.
Without restricting the generality of the preceding, I and the player being registered also relinquish the right to any claim against
Baseball Ontario, Kincardine Minor Baseball or the Kincardine Cubs and their respective officers, coaches, agents, representatives, and sponsors
resulting from a decision on their part, regardless of the nature of this decision.
This release of Baseball Ontario, Kincardine Minor Baseball, the Kincardine Cubs and the other persons noted above does not preclude myself or the player being registered from making a claim under any sports accident coverage provided by Baseball Ontario and/or Kincardine Minor Baseball to their players. An overview of the current sports accident coverage provided by Baseball Ontario can be found at:
https://www.baseballontario.com/filestore/htmleditattachedfiles/oba_insurance_renewal_program_2019-20202019-05-31t15-08-43v001_by_292.pdf
I agree to the terms and conditions stated above
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Tue Mar 21, 2023
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Printed from kincardineminorbaseball.ca on Tuesday, March 21, 2023 at 4:42 PM
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