The purpose of the above listed information is to ensure that medical personnel have details of any medical problem which may interfere with or alter treatment. I understand that I will be notified in the case of a medical emergency involving my child. In the event that I cannot be reached, I authorize the calling of a doctor and the providing of necessary medical services in the event my child is injured or becomes ill. Parent’s/Guardian’s Initials ____________ I understand that the Ortiz Baseball Factory, Jose Ortiz, or any staff) will not be responsible for the medical expenses incurred, but that such expenses will be my responsibility as parent/guardian. Parent’s/Guardian’s Initials ____________ Registration Fees $150.00 Monthly Payment $150.00 In Cash . Personal checks OK no Credit Please circle how you heard about the Granite Park’s Spring Training Camp. After School Program Website School____________ Flyer Other_______________ Terms of Agreement Photo Release I hereby give permission for my child to be photographed during Any Activity or Training Camp performed by OBF. I understand the photos will be used to keep a journal of activities, to share during power point presentations and/or reports to our donors and for promotional purposes including flyers, brochures, newspaper and on the internet. I understand that although my child’s photograph may be used for advertising, his or her identity will not be disclosed, I do not expect compensation. Parent’s/Guardian’s Initials ____________ Guardian Signature: _____________________________________ Date: __________________________ Printed Name of Parent/Guardian: _______________________________________________
The purpose of the above listed information is to ensure that medical personnel have details of any medical problem which may interfere with or alter treatment. I understand that I will be notified in the case of a medical emergency involving my child. In the event that I cannot be reached, I authorize the calling of a doctor and the providing of necessary medical services in the event my child is injured or becomes ill. Parent’s/Guardian’s Initials ____________ I understand that the Ortiz Baseball Factory, Jose Ortiz, or any staff) will not be responsible for the medical expenses incurred, but that such expenses will be my responsibility as parent/guardian. Parent’s/Guardian’s Initials ____________ Registration Fees $150.00 Monthly Payment $150.00 In Cash . Personal checks OK no Credit Please circle how you heard about the Granite Park’s Spring Training Camp. After School Program Website School____________ Flyer Other_______________ Terms of Agreement Photo Release I hereby give permission for my child to be photographed during Any Activity or Training Camp performed by OBF. I understand the photos will be used to keep a journal of activities, to share during power point presentations and/or reports to our donors and for promotional purposes including flyers, brochures, newspaper and on the internet. I understand that although my child’s photograph may be used for advertising, his or her identity will not be disclosed, I do not expect compensation. Parent’s/Guardian’s Initials ____________ Guardian Signature: _____________________________________ Date: __________________________ Printed Name of Parent/Guardian: _______________________________________________
OBF-Registration-Form.docx