APPLICATION FORM - TOM HICKS BASEBALL CAMPS, LLC
(For Baseball Bible Camp)
All applications processed on a first come/first serve basis and must be postmarked by June 1, 2017, to receive the Early Bird Discount pricing. Please make full payment, in the form of a check, payable to Tom Hicks Baseball Camps, LLC. **ALL BASEBALL BIBLE CAMP PROCEEDS WILL BE DONATED TO CHILDREN'S MINISTRIES AT COTTONWOOD CHURCH, LOCATED AT 4505 KATELLA AVENUE IN LOS ALAMITOS, CA.
Child's Name:_________________________________________________ Age:___________
What league does your child participate in, if any?____________________________________
I hereby authorize the staff of Tom Hicks Baseball Camps 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 hereby waive any and all claims against and release the camp, and all persons involved in conducting the camp, from any and all liability for any injury or illness 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 child's participation in the camp. I have no knowledge of any physical impairment that would be affected by my child's participation in the camp program. I authorize Tom Hicks Baseball Camps to take camp photos of my child for camp advertising and publicity purposes.
________________________________ _______________________________ Date:_______________
Child's Name Parent or Guardian Signature
Phone #1:_____________________ #2:______________________ #3:____________________
E-mail Address: _________________________________________________________________________
Make Check Payable to:TOM HICKS BASEBALL CAMPS, LLC
**ALL BASEBALL BIBLE CAMP PROCEEDS WILL BE DONATED TO CHILDREN'S MINISTRIES AT COTTONWOOD CHURCH, LOCATED AT 4505 KATELLA AVENUE IN LOS ALAMITOS, CA.
Mail completed applications to:
Tom Hicks Baseball Camps, LLC
P.O. Box 15963
Long Beach, CA 90815-0963