Player Name *

First Name

Last Name

Parent/Guardian Name *

First Name

Last Name

Emergency Contact Name *

First Name

Last Name

Emergency Contact Phone Number *

(###)

###

####

Player's Date of Birth *

MM

DD

YYYY

Permission to photograph? *

Do you grant permission to photograph your child for promotional purposes or recognition on social media channels.

Yes

No

Release Waiver *

WAIVER & RELEASE: I/we hereby give my/our consent and approval to the participation of the applicant in Atlantic Baseball Academy programming and certify that they are physically fit to take part in all activities. Further, I/we do hereby waive, release and forever discharge Atlantic Baseball Academy, and its staff, from any and all claims of damages occurring from accident, injury to person, or loss of personal property during the participant’s stay at camp(s).

Agree

Disagree

Do you give your child permission to leave at the end of the day on their own? *

Yes

No