Kids Baseball Camp Registration July 26 - 29, 2021 | 9 AM - 2 PM Daily | Ages 7 - 12 2021 BLK Kids Baseball Camp Registration Camper Name & Parent / Guardian InformationCamper Name* First Last Parent or Guardian Email* *** IMPORTANT *** ALL correspondence about the camp will be sent to this email. Please make sure you double check this information before final submission.Parent or Guardian Phone Number*Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Camper InformationDate of Birth*School (Fall 2021)*Grade*Years of Experience*Medical InformationThis information will be used in case of emergency. Campers requiring the use of inhalers or medications of any kind are solely responsible for administering their own meds. Parents should consider this when registering their children for camp.Allergies to Medication*Other Medical Issues*Emergency Contact InfoEmergency Contact Name* First Last Emergency Contact Relationship to Camper*Emergency Contact Phone*Shirt Size*SELECT FROM THE OPTIONS BELOWYouth SmallYouth MediumYouth LargeAdult SmallAdult MediumCamp DetailsJuly 26 - 29, 2021 9 AM - 2 PM Daily BLK Kids Baseball Camp is for kids ages 7 - 12 Campers must bring their own glove, cap and lunch.Product NameSecure Payment InformationTotal Credit CardAmerican ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Month010203040506070809101112 Month Year20212022202320242025202620272028202920302031203220332034203520362037203820392040 Year Expiration Date Security Code Cardholder Name Terms and Conditions* I hereby authorize any medical treatment, which may be advised or recommended by the camp trainers or attending physician while attending the BLK Baseball Youth Camp. I understand that an injury may result from participation in camp related activities. I hereby release BLK Baseball Camp, the coaching staff and trainers, the Emmanuel College Athletics Association and Emmanuel College from any and all liability, claims, demands, actions, and causes of action whatsoever arising out of or related to any loss, damage, or injury, including death, that may be sustained by my child while participating in such camp related activities, or while it, or, or upon the premises where the activity is being conducted. Assumption of the Risk and Waiver of Liability Relating to Coronavirus/COVID-19: The novel coronavirus, COVID-19, has been declared a worldwide pandemic by the World Health Organization. COVID-19 is extremely contagious and is believed to spread mainly from person-to-person contact. As a result, federal, state, and local governments and federal and state health agencies recommend social distancing and have, in many locations, prohibited the congregation of groups of people. BLK Baseball (the Camp) has put in place preventative measures to reduce the spread of COVID-19; however, the Camp cannot guarantee that you or your child(ren) will not become infected with COVID-19. Further, attending the Camp could increase your risk and your child(ren)’s risk of contracting COVID-19. By agreeing to these terms, I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that my child(ren) and I may be exposed to or infected by COVID-19 by attending the Camp and that such exposure or infection may result in personal injury, illness, permanent disability, and death. I understand that the risk of becoming exposed to or infected by COVID-19 at the Camp may result from the actions, omissions, or negligence of myself and others, including, but not limited to, Camp employees, volunteers, and program participants and their families. I voluntarily agree to assume all of the foregoing risks and accept sole responsibility for any injury to my child(ren) or myself (including, but not limited to, personal injury, disability, and death), illness, damage, loss, claim, liability, or expense, of any kind, that I or my child(ren) may experience or incur in connection with my child(ren)’s attendance at the Camp or participation in Camp programming (“Claims”). On my behalf, and on behalf of my children, I hereby release, covenant not to sue, discharge, and hold harmless the Camp, its employees, agents, and representatives, of and from the Claims, including all liabilities, claims, actions, damages, costs or expenses of any kind arising out of or relating thereto. I understand and agree that this release includes any Claims based on the actions, omissions, or negligence of the Camp, its employees, agents, and representatives, whether a COVID-19 infection occurs before, during, or after participation in any Camp program. As the parent or guardian of the above listed camper, I also give permission for any emergency medical care that may be required, including transportation and I accept responsibility for the costs.EmailThis field is for validation purposes and should be left unchanged.
