Bambinos!^TM at Fresno World of Baseball

Fax-in Sign-up Form

Child’s Name: ________________________________________  Birth date: _________________

Address: __________________________________  City: ________________  ZIP: ___________

Phone: _____________________ email: ______________________________________________

               Choose:      

                             May    ____Tuesdays  6, 13, 20, 27                3:30 — 4:30pm    $65
                                              ____Wednesdays   7, 14, 21, 28         1:30 — 2:30pm    $65
                                              ____Wednesdays   7, 14, 21, 28         5:30 — 6:30pm    $65
                                                                       

                                 June     ____Tuesdays   3, 10, 24, July 1        1:30 — 2:30pm     $65
                                               ____Tuesdays   3, 10, 24, July 1        3:00 — 4:00pm     $65

                                               ____Thursdays  5, 12, 26, July 3        1:30 — 2:30pm     $65
                                               ____Thursdays  5, 12, 26, July 3        3:00 — 4:00pm     $65

                                 July      ____Tuesdays  15, 22, 29                  1:30 — 2:30pm     $50
                                               ____Tuesdays  15, 22, 29                  3:00 — 4:00pm     $50

                                               ____Thursdays  17, 24, 31                 1:30 — 2:30pm     $50
                                               ____Thursdays  17, 24, 31                 3:00 — 4:00pm     $50

                                Aug      ____Tuesdays  12, 19                          1:30 — 2:30pm    $35
                                              ____Tuesdays  12, 19                          3:00 — 4:00pm    $35
                                              ____Thursdays  14, 21                        3:00 — 4:00pm    $35

                                 Camp cost and number of sessions varies by month -- see above

Ages 3-5
        

Make check payable to FWOB         Mail to: 5091 N. Fresno St. #140   Fresno, CA   93710

                                                         or Fax to:     (559) 225-8623    or call: (559) 225-1421 

VISA/MasterCard #: ___________________________ Expiration: ________________
 

On behalf of my minor child (player named on this application), I hereby apply for his/her participation at Fresno World of Baseball and to induce Fresno World of Baseball to accept this application. I hereby warrant that both child and I are familiar with the risks associated with participation in an active sport such as baseball and/or softball; furthermore, I warrant that my child is in good health, has no condition or defect which would interfere with his/her participation, or would be in any way affected by such participation. In short, my child is active, in good health, and anxious to play baseball and/or softball.

I do hereby agree and consent to my child’s participation at Fresno World of Baseball and also assume all risks and hazards which are incidental to the conduct of the activities. I hereby release, absolve, indemnify, and hold harmless Fresno World of Baseball, Robles de los Altos, LLC, Blackwell Ventures, Inc., the officers, directors, employees, agents and any of them, their sponsors, organizers, and supervisors of any and all liability or damage, injury, or expense of any kind arising out of, or connected with my child’s participation at Fresno World of Baseball.

Participation in athletics may result in serious injury. It is impossible to TOTALLY eliminate such occurrences from competitive sports. Players can reduce their risk of serious injury by obeying safety rules, following a proper conditioning program, and maintaining their equipment properly.

EVEN IF ALL THESE REQUIREMENTS ARE MET, AND EVEN IF THE ATHLETE IS IN EXCELLENT PHYSICAL CONDITION WITH PERFECT EQUIPMENT, A SERIOUS INJURY MAY STILL OCCUR. AS A CONDITION OF PARTICIPATION IN A FRESNO WORLD OF BASEBALL PROGRAM BY THE PLAYER NAMED IN THIS APPLICATION, I ACKNOWLEDGE THAT I HAVE READ THIS CONSENT FORM, AND KNOWINGLY ON BEHALF OF MY CHILD, ASSUME ALL THE RISKS ASSOCIATED WITH PARTICIPATING IN ANY WAY AT FRESNO WORLD OF BASEBALL.

Parent Signature: _____________________________ Relationship: _____________________________