I plan to attend the FCA Baseball Clinic on

           Session 1   
 

           Session 2 

Attendee's  Name

Attendee's  Age       Attendee's  Gender

 

Attendee's  Parent Contact Information

Parent’s Name

Address

 

City

State

Zip

 

Parent Phone-
 
                    (include area code)

Parent Cell Phone

                   (include area code)
 

Parent E-mail address

Other Emergency Contact Name


Other Emergency Contact Phone #

                   (include area code)

Credit Card PAYMENT Information
If same as parent information click:      Yes 

 If NOT "yes" provide the following
(We need this information that we can match up this form with your payment)
* You must provide this information
 

*Name as it appears on the credit card


*Phone # associated with your credit card

----------------------------

You MUST read & then provide your name per the following

to complete this portion of the registration process:

Parent/student waiver
* You must provide this information.
 

In consideration of allowing participation in Metro Sports Youth, I/we hereby knowingly release and forever discharge FCA Grays, Time Warner Cable, and it employees and agents from any and all liability, actions, lawsuits, claims, demands and expenses resulting, directly or indirectly, from loss of life, personal injuries, property damage, or other damage suffered by the named participant in connection with participation in FCA Grays Baseball Camp regardless of the cause of the injury or damage, including but not limited to negligence of Time Warner Cable, its affiliates, and the employees and agents of each or actions of other participants in the activity.  

The undersigned parent/legal guardian of the named participant does hereby grant to any hospital, emergency center, doctor, nurse, and/or emergency medical services provider, authority to provide emergency medical treatment to my child.  Should the attending physician or provider determine that life-saving surgery or other life-saving procedures are necessary, I do hereby grant permission to administer necessary life-saving surgery or other life-saving procedures.

I REALIZE THAT PARTICIPATING IN THIS CAMP IS A HAZARDOUS ACTIVITY THAT MAY ENDANGER ME THEREFORE, IN CONSIDERATION of my participation in the FCA Grays Baseball Camp, sponsored by Metro Sports, I warrant that I am in good health, and I ASSUME ALL RISKS, known and unknown, of injury to my person and damage to or loss of my property resulting from or in connection with this activity;

I WAIVE AND RELEASE ALL CLAIMS THAT I OR MY REPRESENTATIVE MAY HAVE AGAINST TIME WARNER CABLE (TWC) AND ITS DIRECTORS, OFFICERS, EMPLOYEES, AGENTS, REPRESENTATIVES, PARENT COMPANIES, SUBSIDIARIES AND AFFILIATES OF TWC FOR INJURY, KNOWN OR UNKNOWN, TO MY PERSON OR DAMAGE TO OR LOSS OF MY PROPERTY CAUSED IN WHOLE OR IN PART BY THE NEGLIGENCE OR OTHER ACTS OR OMISSIONS OF TWC OR

ANYONE ACTING ON ITS BEHALF IN CONNECTION WITH THIS ACTIVITY; I also WAIVE any right I may otherwise have to contribution from TWC in any claim or action made or brought against me arising out of or in connection with this activity; and I  WAIVE and RELEASE any claims I might otherwise have based on any duty of TWC to investigate Operator, its safety record, equipment or facilities.  This RELEASE shall be governed and construed pursuant to the laws of the State of Missouri _ without reference to its conflict of laws rules.

*By typing my name  in the following box, I (the parent) and the clinic participant that I am signing up, hereby state that I  (we) HAVE READ THIS AGREEMENT and understand its contents.  I RECOGNIZE that participation is entirely voluntary and at one's own risk.

Nex

Once you have completed the above form to your satisfaction click 
You will then be taken to STEP 2 of the registration process where you can
pay with a credit card or PayPal...

THANK YOU!    We are looking forward to seeing you
at the MSY / FCA Baseball Clinic