Willmar Stingers Clinic Registration

Willmar Stingers free fundamental baseball skills clinic registration

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Applicant's Name *

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Stingers Instructional Clinic Parental Authorization
By checking the box below, we (or I) authorize the Stingers Instructional Clinic, or its designee, to select hospital facilities and/or a physician of his choice and authorize treatment of the above-named applicant on an emergency basis in the event such treatment becomes necessary. We (or I) will be responsible for all bills incurred as a result of illness or accident while the above-named applicant is at the Stingers Instructional Clinic, except bills covered by insurance. We (or I) hereby request you accept the application for enrollment of the above-named applicant for the Stingers Instructional Clinic. In consideration of your acceptance of this application, we (or I) hereby release the Willmar Stingers, their players or coaches or any other clinic employees from all claims on account of illness, injuries, or diseases which may be sustained by the above-named applicant while attending the Stingers Instructional Clinic, and we (or I) further agree to indemnify the Willmar Stingers and its ownership, players and coaches for any claim which may hereafter be presented by the applicant.

Parental Authorization *

I agree to the authorization stated above

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Emergency Contact Phone Number *

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