Renz Baseball Academy Registration Form

Please choose the camp the student will be attending:

Please fill in the student's information - First name: Last name: Age:

Parent's Name: E-Mail Address:

Street Address: City: State: Zip:

Home Phone: Work Phone: Cell Phone:

Payment Method:

Credit Card (may also be called in)
Type: #: Expires:

Check
Check No:

*Sessions will not be refunded and tuition is nonrefundable unless notice is given 5 days prior to the week of camp. There is a $35.00 fee for a late cancellation.

Comments:

Please print this page after filling out the form. DO NOT try to send it by e-mail. Mail completed form with check payment or credit card payment to Renz Baseball Academy. (Please do not send cash in mail.)
RELEASE AND INDEMNITY AGREEMENT

I hereby give my consent for my child to participate in the Renz Baseball Academy - Camps or Clinics. I understand that injuries can occur during participation in a sport. I / We hereby release and agree to hold harmless Renz Baseball Academy, Kevin Renz, and all coaches, officials, or employees for claims for damages for personal injuries or otherwise to my / our child which may arise by virtue of acts, or omissions to act, negligent or otherwise, on the part of Renz Baseball Academy, Kevin Renz, and all coaches, officials and employees harmless and indemnify them against any and all claims, including any claim, suit, or action brought by the child or on his / her behalf, or by me / us, it being our specific intent to fully indemnify and hold harmless Renz Baseball Academy, Kevin Renz, and it's coaches, officials, and employees, without limitation of any kind as to party, nature of claim, amount of claim, or time interval involved. This form must be signed by parent / guardian if child is under 18 years of age.


Parent/Guardian Signature _______________________________________
Date: __________