MCHS Camp Flyer 22412

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Friday, February 24, 2012Hitting Fielding

Throwing CatchingBase Running Pitching

General Skills & More

Cost: $40.00 per session or $75.00 all day.

Space is limited so sign up early.

Registration deadline is February 17, 2012.

Meet the Costa high school players and coaches, have some fun andlearn some skills for the upcoming softball season.

T-shirt, snack and water will be provided.

Complete the Registration and Waiver of Liability Forms and mail per the

instructions on the Forms. Details will be provided upon completion of

registration. Questions may be directed to:[email protected]

ALL PROCEEDS BENEFIT MIRA COSTA SOFTBALL

Ages: 7U 14U

Morning Session: 9:00 am 12:00 pmAfternoon Session: 1:00 4:00 p.m.

Location: Mira Costa High School Varsity Softball Field

located on Meadows Avenue.
mailto:[email protected]:[email protected]:[email protected]:[email protected]


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MIRA COSTA HIGH SCHOOL GIRLS SOFTBALL CLINIC

Hosted by the Mira Costa High Softball Teams

REGISTRATION FORM:

Players First and Last Name: ______________________________________________________

Age:_______________________________ Current Grade:_______________________________

Morning Session:___________ Afternoon Session:____________ All Day: ______________

Skill Level: Beginner _____________ Intermediate_____________ Advanced________________

Address:_______________________________________________________________________

Home Phone:___________________________ Cell Phone #:_____________________________

Email Address:__________________________________________________________________

Parents Names:_________________________________________________________________

Emergency Contact (list two addl numbers):___________________________________________

Name of person other than parent authorized for pick up:_________________________________

Please arrive with your child. Curbside pick up will NOT be available.

To finalize registration, complete the Registration Form and the Waiver of Liability and Authorization for Emergency Treatment Form and mail both forms along

with your check to:

1746 3rd Street, Manhattan Beach, CA 90266.

Checks made payable to: Mira Costa High Softball Boosters

If the camp is canceled due to rain, MCHS Softball Boosters will refund anyone who requests it. However, the team would welcome donations in lieu of refunds, as

this is an important and needed fundraising event. Thank you for your support of MCHS Softball!

Questions: [email protected] visit us at Miracostasoftball.com
mailto:[email protected]:[email protected]:[email protected]


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MIRA COSTA HIGH SCHOOL GIRLS SOFTBALL CAMP

Hosted by the Mira Costa High School Softball Team

WAIVER OF LIABILITY AND AUTHORIZATION FOR EMERGENCY TREATMENT

WAIVER: In consideration of being permitted to participate in the Mira Costa High School Softball Camp, I do hereby

release, waive, discharge, and covenant not to sue the Manhattan Beach Unified School District, the Mira Costa High

School Softball Boosters, Manhattan Beach Youth Athletics; Manhattan Beach Girls Softball and any and all persons

involved in conducting the camp from any and all liability for any personal injury, accidents or illnesses which may occur

while my child is participating in the camp. I agree to indemnify and hold free and harmless all persons involved with

conducting the camp against all claims arising out of my childs participation in the camp. I have no knowledge of any

personal impairment that would be affected by my childs participation in the camp program.

I acknowledge that I am signing this agreement freely and voluntarily, and intend by my signature to be a complete and

unconditional release of all liability.

I understand that I am required to maintain and carry accident medical coverage for the child listed on this application.

In case of an emergency and I cannot be reached, I hereby authorize the staff at Mira Costa High School Softball Camp to

act on my behalf according to their reasonable judgment in any emergency requiring medical attention for my child. I

understand that efforts will be made to contact me, but that medical treatment will not be withheld if I cannot be

reached. I further understand that I will be financially responsible for all charges and fees incurred in the rendering of

said emergency treatment, regardless of whether or not my medical insurance would cover such charges and fees.

I also agree and authorize the use of photographs and video/DVDs of my child on the Mira Costa Softball website, Mira

Costa High School website and in their printed materials.

I am the parent/legal guardian of the minor _______________________________ and I am signing this release on behalf of

said minor.

Signature of Parent/Legal Guardian of Minor:___________________________________

Date:_______________________

MCHS Camp Flyer 22412

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