Develop skills in Hitting Fielding Throwing Base Running

Monday, December 19, 2011 Location: Mira Costa High School Varsity Softball Field located on Meadows Avenue.
AGES: 6U 8U Morning Session: 9:00 am 12:00 pm AGES: 10U 14U Afternoon Session 1:00 pm 4:00 pm

Cost: $40.00

Space is limited so sign up early. Registration deadline is December 9, 2011. Come out and meet the Costa high school players and coaches, have some fun and learn some skills for the upcoming softball season. Water will be provided.
Complete the Registration and Waiver of Liability Forms and mail per the instructions on the Forms. Details will be provided upon completion of

registration. Questions may be directed to: mcsoftballboosters@gmail.com ALL PROCEEDS BENEFIT MIRA COSTA SOFTBALL

MIRA COSTA HIGH SCHOOL GIRLS SOFTBALL CLINIC Hosted by the Mira Costa High Softball Teams REGISTRATION FORM: Players First and Last Name: ______________________________________________________ Age:_______________________________ Current Grade:_______________________________ Morning Session:___________ Afternoon Session:____________ Skill Level: Beginner _____________ Intermediate_____________ Advanced________________ Address:_______________________________________________________________________ Home Phone:___________________________ Cell Phone #:_____________________________ Email Address:__________________________________________________________________ Parents Names:_________________________________________________________________ Emergency Contact (list two addl numbers):___________________________________________ Name of person other than parent authorized for pick up:_________________________________ Please arrive with your child. Curbside pick up will NOT be available. To finalize registration, complete the Registration Form and the Waiver of Liability and Authorization for Emergency Treatment Form and mail both forms along with your check to: 1746 3rd Street, Manhattan Beach, CA 90266. Checks made payable to: Mira Costa High Softball Boosters If the camp is canceled due to rain, MCHS Softball Boosters will refund anyone who requests it. However, the team would welcome donations in lieu of refunds, as this is an important and needed fundraising event. Thank you for your support of MCHS Softball! Questions: mcsoftballboosters@gmail.com

MIRA COSTA HIGH SCHOOL GIRLS SOFTBALL CAMP Hosted by the Mira Costa High Softball Teams WAIVER OF LIABILITY AND AUTHORIZATION FOR EMERGENCY TREATMENT WAIVER: In consideration of being permitted to participate in the Mira Costa High School Softball Camp, I do hereby release, waive, discharge, and covenant not to sue the Manhattan Beach Unified School District, the Mira Costa High School Softball Boosters, Manhattan Beach Youth Athletics; Manhattan Beach Girls Softball and any and all persons involved in conducting the camp from any and all liability for any personal injury, accidents or illnesses which may occur while my child is participating in the camp. I agree to indemnify and hold free and harmless all persons involved with conducting the camp against all claims arising out of my childs participation in the camp. I have no knowledge of any personal impairment that would be affected by my childs participation in the camp program. I acknowledge that I am signing this agreement freely and voluntarily, and intend by my signature to be a complete and unconditional release of all liability. I understand that I am required to maintain and carry accident medical coverage for the child listed on this application. In case of an emergency and I cannot be reached, I hereby authorize the staff at Mira Costa High School Softball Camp to act on my behalf according to their reasonable judgment in any emergency requiring medical attention for my child. I understand that efforts will be made to contact me, but that medical treatment will not be withheld if I cannot be reached. I further understand that I will be financially responsible for all charges and fees incurred in the rendering of said emergency treatment, regardless of whether or not my medical insurance would cover such charges and fees. I am the parent/legal guardian of the minor _______________________________ and I am signing this release on behalf of said minor. Signature of Parent/Legal Guardian of Minor:___________________________________ Date:_______________________