Friday, February 24, 2012

Hitting Throwing Base Running

Ages: 7U 14U Morning Session: 9:00 am 12:00 pm Afternoon Session: 1:00 4:00 p.m. Location: Mira Costa High School Varsity Softball Field located on Meadows Avenue.

Fielding Catching 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 and learn 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: mcsoftballboosters@gmail.com ALL PROCEEDS BENEFIT MIRA COSTA SOFTBALL

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: mcsoftballboosters@gmail.com or visit us at Miracostasoftball.com

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:_______________________