Mira Costa High School Softball Camp

8/3/2019 Mira Costa High School Softball Camp

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Develop skills in

Hitting Fielding Throwing Base

RunningM o n d a y , D ec e m b e r 1 9, 2011

L o c a t i o n : M i r a Co s t a Hi g h Sc h o o l Va r s i t y So f t b a l l F i e l dl o c a t ed o n M ea d o w s Av en u e .

Co s t : $40 .00

Sp a c e i s l i m i t ed so s i g n u p ea r l y .Re g i s t r a t i o n d e a d l i n e i s D ec e m b e r 9 , 20 11 .

Co m e o u t a n d m ee t t h e Co st a h i g h s c h o o l p l a y e r sa n d c o a c h es, h a v e so m e f u n a n d l ea r n so m esk i l l s f o r t h e u p c o m i n g so f t b a l l se a so n .

W a t er w i l l b e p r o v i d e d .

Co m p l e t e t h e Reg i s t r a t i o n a n d W a i v er o f Li a b i l i t yFo r m s a n d m a i l p e r t h e i n s t r u c t i o n s o n t h e Fo r m s.

D et a i l s w i l l b e p r o v i d e d u p o n c o m p l e t i o n o f

AGES: 6U8UM o r n i n g Se ss i o n :

9 :00 am 1 2 :0 0 p m

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r e g i s t r a t i o n . Qu e st i o n s m a y b e d i r e c ted t o :m c so f t b a l l b o o s t e r s@g m a i l .c o m

ALL PR OCEEDS B ENEFI T M I RA COSTA SOFTB ALL


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MIRA COSTA HIGH SCHOOL GIRLS SOFTBALL CLINICHosted by the Mira Costa High Softball Teams

REGISTRATION FORM:

Players First and Last Name: ______________________________________________________

Age:_______________________________ Current Grade:_______________________________

Morning Session:___________ Afternoon Session:____________

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 Formand the Waiver of Liability and

Authorization for Emergency Treatment Form and mail both forms along with your check to:1746 3rdStreet, 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 neededfundraising event. Thank you for your support of MCHS Softball!

Questions: [email protected]


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MIRA COSTA HIGH SCHOOL GIRLS SOFTBALL CAMPHosted by the Mira Costa High Softball Teams

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 am the parent/legal guardian of the minor _______________________________ and Iam signing this release on behalf of said minor.

Signature of Parent/Legal Guardian of Minor:___________________________________

Date:_______________________

Mira Costa High School Softball Camp

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