CBA PUMAS Christmas Boot Camp Registration

CBA Pumas Christmas Bootcamp - 2016*
Price: $125.00
Do you have a coupon code?
- Yes
Coupon Code
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Total
$0.00
Player's Name
First Last
Player's Age*
Please enter a number from 5 to 13.
Player's Sex*
Player's Birthdate*
Address*
Street Address Address Line 2 City State ZIP Code
Parent's Name*
First Last
Home Phone
Cell Phone*
Parent's Email Address*
Emergency Contact Name*
First Last
Emergency Contact Phone*
Camp Dates*
How did you hear about our camp?*
If applicable, what team do you play for?
T-Shirt Size*
Participant Medical Information

Health & General Medical History
If the player should be restricted from any activity, please explain:*
If the player will be taking medication during the camp, please indicate drug and dosage:*
Please identify any medical condition or medical history that will/may require special attention:*
Please check any of the following conditions that may apply:*
- High Blood Pressure
- Diabetes
- Asthma
- None Of These
Player's Doctor
Doctor's Phone Number
Insurance Company
Medical Insurance Policy/Group Number
Insurance Company's Phone
Camp Terms & Conditions/Waiver & Release of Liability

READ BEFORE SIGNING
By signing below, I/we (Parent/Guardian of Participant and Participant) agree to the following terms and conditions of participating in the Camp provided by CBA Pumas Baseball a project of GR8 Community Development Corp from here on referred to as CBA Pumas Baseball.

1. Medical Condition & Authorization. I certify that the named Participant is physically able to participate in the CBA Pumas Baseball Camp and that I know of no restrictions, physical impairments, or any other facts, which in any manner limit his/her participation in such a program. I also understand that CBA Pumas Baseball will administer no physical examinations and that CBA Pumas Baseball will rely solely upon the information shown on this form. I give permission for Participant to receive emergency medical or surgical treatment and hospitalization if necessary. I hereby authorize directors, coaches, staff and associates of CBA Pumas Baseball to act on my behalf according to their best judgment in any emergency requiring medical or surgical treatment and hospitalization if necessary.

2. Financial Responsibility & Insurance. I will be financially responsible for any medical attention needed during the Camp or resulting from an injury received at Camp. I represent that I have provided and maintain adequate health and medical insurance coverage for Participant covering any and all activities related to the Camp. My medical insurance shall be the insurance coverage for any medical treatment. I also understand and agree that CBA Pumas Baseball shall not assume, or be responsible or liable for expense, medical treatment, or compensation for any injury to the named Participant may suffer during Camp participation or related activities.

3. Compliance with Camp Rules. Participant understands and agrees to comply with all of the CBA Pumas Baseball Camp rules, policies and stated and customary terms, conditions or requirements for participation (Camp Rules) including any rules or conditions of any hotel or transportation service provider in which participant uses during the Camp. I/we agree that if you observe any unusual or significant concern in Participant’s readiness for participation in the Camp or participant’s failure or unwillingness to comply with the Camp Rules, you may, at your sole discretion, will remove participant from the participation and immediately inform the nearest CBA Pumas Baseball official. Also, I/we hereby release and forever discharge CBA Pumas Baseball from any and all claims, actions, damages, or liabilities (including attorneys' fees and costs), arising from or related to any acts, actions, failures to act by Participant or Participant's disregard or failure to follow Camp Rules.

4. Assumption of Risk of Camp Activities. I understand the risk of injury to Participant from the activities involved in the baseball Camp is significant, including the potential for permanent disability and death. The term “Camp Activities” includes but is not limited to: travel to and from Camp, activities on and off the field, activities before and after field instruction at any hotel or third party facilities at which a Camp activity or function is conducted. While the particular Camp rules, equipment and personal discipline may reduce this risk, the risk of serious injury does exist. I/we (Parent/Guardian and Participant) knowingly and freely assume all such risks, both known and unknown, even if arising from the negligence of CBA Pumas Baseball and its Coaches, Staff, Camp Management, and Directors and I/we assume full responsibility for participation in Camp by Participant.

5. Release & Hold Harmless. I/we for myself and on behalf of Participant hereby release and hold harmless CBA Pumas Baseball, and its Coaches, Staff, Camp Management, Directors, Sponsors, Representatives, volunteers and if applicable the owners and lessors of the premises used to conduct the Camp (Releasees) with respect to any and all injury, disability, death or loss or damage to person or property incident to participant’s involvement or participation in any and all Camp activities whether arising from the negligence of releases or otherwise, to the fullest extent permitted by law.

6. Indemnity. I/we, for myself and on behalf of Participant, hereby indemnify and hold all of the above Releasees from any and all liabilities incident to Participant’s involvement or participation in any and all Camp activities whether arising from the negligence of releases or otherwise, to the fullest extent permitted by law.

7. Payment. Registration must be paid in full prior to attending Camp.

8. Cancellation Policy. A full Camp credit will be issued to you if for any reason you must cancel your CBA Pumas Baseball Camp Registration up to 10 days prior to the Camp (July 3, 2015). CBA Pumas Baseball reserves the right to cancel a Camp for any reason without prior notice. In this case, full refund is given for all monies collected by CBA Pumas Baseball only. CBA Pumas Baseball will not be responsible for refunds on airline flights, hotel reservations, or other incidental fees incurred in conjunction with the Camp.

9. Publicity. I understand and agree CBA Pumas Baseball retains the right to use, for publicity and advertising, photographs of Campers taken at CBA Pumas Baseball Boot Camp.

10. Limitation of Liability. I agree that the total liability of CBA Pumas Baseball, its affiliates and respective directors, officers, employees, and agents with respect to services performed or to be performed by CBA Pumas Baseball, shall not exceed 100% of the compensation received by CBA Pumas Baseball, from me pertaining to Participant. The parties agree and acknowledge this Section of the Agreement is a material part of the consideration for the Agreement.

11. Severability. In the event that any provision of these Terms and Conditions, or the application of any such provision to any person or set of circumstances, shall be determined to be invalid, unlawful or unenforceable, the remainder of these Terms and Conditions shall continue to be valid and enforceable to the fullest extent permitted by law.

13. Governing Law & Jurisdiction. These Terms and Conditions will be governed by the law of the state in which the Camp is conducted. I/we agree that any action brought under these Terms and Conditions shall be brought in the federal or state courts of Nevada. In the event either party commences an action under these Terms and Conditions, the prevailing party shall be entitled to reasonable attorney fees and costs.

I/WE HAVE READ THESE CAMP TERMS & CONDITIONS AND WAIVER & RELEASE OF LIABILITY, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I/WE HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.

Participant’s Understanding of Risk. I, Participant, understand the seriousness of the risks involved in participating in this Camp, my personal responsibilities for following the Camp Rules and accept them as a Participant.
I agree that I/We have read the above terms & conditions.*
- By checking this box, I/we (Parent/Guardian of Participant and Participant) agree that I/We have read the above terms and conditions of participating in the Camp provided by CBA Pumas Baseball.
Parent's Signature*
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CBA PUMAS Christmas Boot Camp Registration

Participant Medical Information

Health & General Medical History

Camp Terms & Conditions/Waiver & Release of Liability