Travel Baseball Program

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2022 Finksburg Lions Travel Baseball Catcher's Clinics

PLAYER INFORMATION

* First Name:

* Last Name:

* Street:

* City:

* State:

* Zip Code:

* Home Phone:

* Birthdate:

Payer Email- (Driving Age Players Only):

* Grade:

Cel phone (Driving Age Players Only):

PARENT/GUARDIAN #1

* Firstname:

* Lastname:

* EMail:

Home Phone:

Work Phone:

PARENT/GUARDIAN #2

Firstname:

Lastname:

Email:

Home Phone:

Work Phone:

Cell Phone:

MEDICAL/EMERGENCY CONTACT INFORMATION

* Emergency Contact:

* Phone:

* Relationship to Player:

* Insurance Carrier:

Policy #:

Authorization for Use of Photographic Likeness

I agree to allow Finksburg Baseball to take and utilize photographic images of the registered individual's for the purpose of promotion and publicizing of the programs and/or events. If I prefer to not allow the above registered participant/s to be photographed, I will contact ajdelgado@comcast.com to register my request

I/WE Agree with the Above *

CODE OF CONDUCT

I/We agree with and acknowledge the Code of Conduct *

WAIVER INFORMATION

I the parent of the above named child hereby give my approval to participate in any and all Finksburg Baseball activities. I assume all risks and hazards incidental to such participation including transportation to and from the activities, and I hereby waive, release, absolve, indemnify and agree to hold Finksburg Baseball, the organizer’s sponsors, supervisors, participants and persons transporting my child to and from the activities, for any claim arising out of an injury to my child.

I/we agree with the above *

* indicates required fields

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2022 Finksburg Lions Travel Baseball Catcher's Clinics