CANTON CHIEFS BASEBALL CAMP 2009

WHEN: June 15 – 18 (M-TH), 9:30 am – 2:00 pm.  Friday is a rain date make up day.  If it rains after drop off, there will be an indoor facility at the main high school

will be used until pick up. 

WHERE: Canton Varsity Baseball Field

WHO: Ages 7 – 14 (Limited Number of Campers- REGISTER EARLY)

WHAT TO BRING: Glove required, Bat optional, suntan lotion,

WHAT IS PROVIDED:  2009 Canton Baseball Camp T-Shirt, Lunch included each day (hot dogs, pizza, cheeseburgers and drinks)

WHAT TO DO: Complete the form below (front and back) and mail with payment (checks payable to “CCPBC”) to PO Box 871846, Canton Mi 48187

INCLUDES FOUR DAYS OF GROUP AND INDIVIDUAL INSTRUCTION FROM THE VARSITY COACHING STAFF AND PLAYERS IN ALL PHASES OF THE GAME: THROWING, FIELDING, HITTING, PITCHING, BASE RUNNING, ETC.

NOTE: The concession stand will be open for drinks and assorted snacks 

 FOR FURTHER INFORMATION CONTACT:

Diane Galanty (734) 765-1255

REGISTRATION FEE ……………………..$120.00

(REGISTER EARLY CAMP IS LIMITED)

MAKE CHECKS PAYABLE TO: “CCPBC”

AND MAIL TO: CCPBC

P.O. BOX 871846

Canton, MI. 48187

(Please Print)

Name ______________________________________________

T-Shirt Size (Circle one):

All Adult Sizes

S M L XL

Current Age: _______

Grade: ________

E-Mail Address_________________________________________________

PLEASE BE SURE TO COMPLETE INSURANCE FORMS ON THE BACK

DISCLAIMER OF LIABILITY:

The Plymouth Canton Community Schools, the Canton Chiefs Parents Baseball Club (CCPBC), and its staff do not assume liability for any injuries incurred while at camp or on the way to camp. Parents should contact their own insurance carrier to get additional insurance for the camper, if necessary. The following disclaimer must be signed and dated by the campers parents:

THE CAMPER, IN ATTENDING THE CANTON CHIEFS SUMMER BASEBALL CAMP AND IN USING THE PLYMOUTH CANTON SCHOOL FACILITIES DOES SO AT HIS OWN RISK. THE PLYMOUTH CANTON COMMUNITY SCHOOLS, THE CANTON CHIEFS PARENTS BASEBALL CLUB AND ITS STAFF SHALL NOT BE LIABLE FOR ANY DAMAGES ARISING FROM PERSONAL INJURY SUSTAINED BY THE CAMPER DURING THE CAMP OR AT THE FACILITIES. THE CAMPER AND HIS PARENTS ASSUME FULL RESPONSIBILITY FOR ANY DAMAGES OR INJURIES WHICH MAY OCCUR TO THE CAMPER DURING THE SESSION AND SO HEREBY FULLY AND FOREVER EXONERATE AND DISCHARGE THE OPERATORS FOR ANY AND ALL CLAIMS, DEMANDS, DAMAGES, RIGHTS OF ACTION OR CAUSES OF ACTION, PRESENT OR FUTURE, WHETHER THE SAME BE KNOWN, ANTICIPATED OR UNANTICIPATED, RESULTING FROM OR ARISING OUT OF THE CAMPERS PARTICIPATION IN THE CLINIC SESSION AND IN THE USE OF THE FACILITIES.

SIGNATURE OF PARENT OR GUARDIAN: _________________________________________
DATE: _________________________

 MEDICAL AUTHORIZATION:

In the event of injury to a camper, to permit treatment of injuries, the following authorization must be signed and dated by the camper’s parent/ guardian:

I HEREBY GIVE MY PERMISSION TO THE LICENSED PHYSICIAN SELECTED BY THE CAMP OPERATOR, TO HOSPITALIZE, SECURE PROPER TREATMENT, ANESTHESIA, OR SURGERY FOR MY CHILD IN AN EMERGENCY

SIGNATURE OF PARENT OR GUARDIAN : ________________________________________
DATE :__________________________

ARE YOU A RETURNING CAMPER ? YES NO