Milton Parks and Recreation Department
Seventh Annual - 2010
February Vacation Baseball Clinic
Program open to children ages 6 - 11
Director: Dave Perdios Staff: Curry College Baseball Team
Daily Baseball Instructions Will Focus On
Hitting – Throwing – Fielding – Base running
Dates: February 15th - 19th Location: Milton High School Field House
Time: 3:00 - 5pm Cost: $150 (checks payable to Town of Milton)
Program is limited to 80 participants!
Refund Policy: Must notify Parks Dept. office no later than 3pm on Feg. 8th
Mail Registrations To: Milton Parks Dept. 525 Canton Ave. Milton, MA 02186
----------------------------Please cut and return registration information and payment---------------------------------
2010 February Vacation Baseball Clinic
Name:__________________________________________Age:_______Phone:______________________
Address:______________________________________________________________________________
Email Address:__________________________________________________________________________
Emergency Contact Person & Phone: _________________________________________________________
CONSENT AND RELEASE FORM
I, the undersigned parent/guardian of_____________________________, a minor, do hereby consent to my child’s participation in voluntary athletic or recreational programs of the Town of Milton Park Department.
I also agree to forever release the Town of Milton, the Park Department, and all their employees, agents, board members, volunteers and any and all individuals and organizations assisting or participating in voluntary athletic or recreation programs of the Town of Milton Park Department (“the Releasees”) from any and all claims, right of action and causes of action that may have arisen in the past, or may arise in the future, directly or indirectly, from personal injuries to my child or property damage resulting from my child’s participation in the Town of Milton Park Department voluntary athletic or recreation programs.
I also promise, to indemnify, defend, and hold harmless the Releasees against any and all legal claims and proceedings of any description that may have been asserted in the past, or may be asserted in the future, directly or indirectly, arising from personal injuries to my child or property damage resulting from my child’s participation in the Town of Milton Park Department voluntary athletic or recreational programs.
I further affirm that I have read this Consent and Release Form and that I understand the contents of this Form. I understand that my child’s participation in these programs is voluntary and that my child and I are free to choose not to participate in said programs. By signing this Form, I affirm that I have decided to allow my child to participate in the Town of Milton Park Department athletic or recreation programs with full knowledge that the Releasees will not be liable to anyone for personal injuries and property damage my child or I may suffer in voluntary Town of Milton Park Department athletic or recreation programs.
Signature: ____________________________________________________ Date: _____________________
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