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All Participants must fill out both the Registration Form & Hold Harmless Release Form below in order to participate in camp activities

*Participants must be between 10-18 Years Old
*Check-In Starts 8:30 am
*Camp Time: 10am-3pm (lunch break in between)
*Payments can be made at the door for $95.00          
*Payment: via Paypal(Card), Check, Cash (Door)
SATURDAY- DECEMBER 17, 2016
 (WeFam LLC, presents Weeks Brothers Holiday Baseball Camp)
 ONLINE REGISTRATION  ONLY $65.00 (Deadline for online payments ends 12/14/16)
Registration
Online Registration
mm/dd/yyyy
Travel Ball, High School etc
ex. (5"9'-160)
(RH/LH)
(Name, Phone #)
Taking any medication or have any allergies? If so, what?
I acknowledge and represent that I understand everything in the below release statement.
PARENTAL AUTHORIZATION: I, parent or guardian of the above named candidate for a position in above mentioned baseball program, hereby gives approval to his/her participation in any and all clinic/baseball activities during the Weeks Brothers Holiday Baseball Camp. I acknowledge and represent that I understand the nature of what is involved in participating and playing the game of baseball and all it entails. I further acknowledge that my child is qualified, in good health, and in proper physical condition to participate in all aspects of this activity. I fully understand that baseball and all activities associated with the program involve certain risks and potential harm of serious bodily injury, including but not limited to permanent disability, paralysis, and death. I acknowledge my understanding that these risks and potential dangers may be caused by my child’s own actions or inactions, the actions or inactions of others involved and/or participating in the program or activity, the condition in which the activity or game is taking place, or the potential negligence of all parties identified as “Releases” including WeFam, the Orlando Monarchs (and its staff), Lake Brantley High School, the organizers, sponsors, supervisors, participants and/or other parents. In consideration of these factors, I hereby release, discharge, covenant not to sue, and I further agree to indemnify and hold harmless each Releasee from all liability, claims, demands, losses, costs, and/or damages incurred as such caused by my child or as alleged to be caused in whole or in part by the actions and/or negligence of said Releasees or otherwise. I further agree and acknowledge that if despite this release, I or anyone on my child’s behalf make a claim against any of the Releasees, I will indemnify, save and hold harmless each Releasee from any litigation, expenses, attorney fees, loss liability, damage, or other cost which may occur as the result of any such claim, to the fullest extent permitted by law. I assume all risks and hazards incidental to such exposure and participation to other ancillary activities including transportation to and from the activities; and I hereby waive, release, absolve, indemnify and agree to hold harmless said Releasees, including parents, WeFam, the Orlando Monarchs (and its staff), Lake Brantley High School, the organizers, sponsors, supervisors, participants and persons transporting the player to and from activities, from any claim arising out of an injury to the player, except to the extent and in the amount covered by accident and/or liability insurance held by the Orlando Monarchs. I also grant permission to managing personnel or other WeFam/Orlando Monarchs representatives to authorize and obtain medical care from any licensed physician, hospital or medical clinic should the player become ill or injured while participating in clinic/baseball activities away from home, or at other times when neither parent, nor guardian is available to grant authorization for emergency treatment. I agree that all still images, video and live feeds of my child shall remain the property of event organizers.
First,Last
mm/dd/yyyy

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