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Player Name *
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Date of Birth *
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Parent's Name *
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Address *
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Primary Phone Number *
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Secondary Phone Number
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I, individually or on behalf of my child or ward, understand that participating in lessons, camps, team workout, or other activities (the programs) offered by Lou DiChiaro’s Baseball & Softball Academy, Corp. (the company) entails inherent risk of physical injury, and that my participation or the participation of my child or ward could result in physical injury.
I, individually or on behalf of my child(ren) or ward, understand that participating in lessons, camps, team workouts, or other activities (the programs) offered by Lou DiChiaro’s Baseball & Softball Academy, Corp. (the company) entails inherent risks of COVID-19, and that my participation or the participation of my child(ren) or ward could result in contracting COVID-19.
In consideration of my or my child’s or ward’s participation in any or all of the company’s programs, I individually or on behalf of my child or ward, including my or my child’s heirs and assigns, release Lou DiChiaro’s Baseball & Softball Academy, Corp., its officers, employees, agents, and volunteers, from any and all claims and liabilities arising from participation in the company’s programs, including COVID-19 contraction.
I give permission for the release of my and/or my child/ward's photo/video to appear on the website, publications, social media pages, and/or other publicity vehicles representing Lou DiChiaro’s Baseball & Softball Academy. *
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