Softball Camp - Amazon S3

Softball Camp
             FORT HAYS STATE UNIVERSITY
                 FALL SOFTBALL CAMP
                      AGES 12-18

                    Sunday September 26th, 2021
                             9:00-3:00
                                *Space will be limited
                     *Camp will be held at Fort Hays State University
                                     Tiger Stadium
                                      600 Park St
                                    Hays, KS 67601
                         (South of Gross Memorial Coliseum)

                                       *Cost is $100

                              *Check-in will begin at 8:30am

                       *Each Participant will receive a camp t-shirt
     *Be sure to bring glove, tennis shoes, bat, batting gloves, helmet and water bottle

*Please email questions to Adrian Pilkington at ammohr2@fhsu.edu or Lawren McKinney at
                                   llmckinney@fhsu.edu

Registration Instructions
-Print registration form and fill out registration sheet, insurance information and
 liability waiver.

-Please be sure to fill out an email and phone number on your registration sheet so
 so that we can contact you if needed.

-Mail all of the sheets that have been listed above including camp fee to the following
 address:
 *Please return application & payment to:
   FHSU Softball
   1435 US 183 Alt
   Cunningham Hall 138A
   Hays, KS 67601

-Make checks payable to Adrian Pilkington Softball Camp

Participant Registration Form

Name:                                                    Age:

Grade:                                      Primary Phone #:

Secondary Phone #:                          Email:

Address:

High School/Travel ball team:

Throws: Right or Left           Bats: Right or Left       T-Shirt Size:
        (Circle one)                  (Circle one)                        (Adult sizes)

Primary Position:                           Secondary Position:

Insurance Information

Guardian/ Policy Holder Name:

Insurance Company:                                       Policy #:

Address:                                    Phone #:

Parent/Guardian Email:
(Registration confirmation will be sent to the above email address)

              Please mail registration and payment to the following address:

                                       FHSU Softball
                                      1435 US 183 Alt
                                   Cunningham Hall 138A
                                      Hays, KS 67601

                    Acceptable forms of payment include cash and check.
             Please make checks payable to: Adrian Pilkington Softball Camp

Fort Hays State University Softball Camp
                        Release, Consent and Emergency Authorization Form (Release)

In consideration of participation in any way in the Fort Hays State University Softball Camp, related events and
activities, the undersigned acknowledges, understands and agrees to the following.

1. I (name)                              of (address)                                          .
City of                         State of                        , (Releasors), are aware the parent(s) or legal
guardian(s) of the minor child,                                         (minor) and represent to Fort Hays State
University that the facts set forth in this release concerning the minor are true.

2. I am/we are aware and familiar with the many ordinary and hazardous risks involved in sports, including, but not
   limited to , travel to and from the site of activity, physical contact and the possible reckless conduct of other
   participants. I/we understand that the dangers and risks of participating in sports and related events and activities
   include but are not limited to, death, serious neck or spinal injury which may result in paralysis, brain damage,
   serious injury to all internal organs, injury to all bones, ligaments, muscles, tendons and other aspects of the
   body. I/we understand that the dangers and risks of participating in Fort Hays State University Softball Camp
   may result not only in serious injury, but in serious impairment of future ability to earn a living, engage in
   business, and generally enjoy life. I/we understand on behalf of myself and minor that I am/we are assuming
   those risks.

3. I/we current know of no physical or mental conditions that would impair the minors capability for full
   participation in Fort Hays State University Softball Camp as intended or expected.

4. On behalf of myself and minor, our heirs, executors, administrators and assigns, the the fullest extent permitted
   by law, hereby release, waive, discharge, and relinquish any action or causes of action, aforesaid, which may
   hereafter arise for me/us, minor, and or our estate and agree that under no circumstances will I/we, minor or our
   heirs, executors, administrators and assigns persecute, present any claim for personal injury, property damage or
   wrongful death against Fort Hays State University, its facilities, or any of its trustees, officers, instructors,
   employees or agents fro any said causes of action, whether the same shall arise by the negligence of any said
   persons or otherwise, including while traveling to, from or participating in Fort Hays State University Youth
   Softball Camp, or while in, on, upon or near the premises where the Fort Hays State University Youth Softball
   Camp is being conducted. IT IS MY/OUR INTENTION BY THIS INSTRUMENT TO EXEMPT AND
   RELIEVE FORT HAYS STATE UNIVERSITY FROM LIABILITY FOR PERSONAL INJURY, PROPERTY
   DAMAGE, OR WRONGFUL DEATH.

5. To the fullest extent permitted by law, I/we further AGREE TO INDEMNIFY AND HOLD HARMLESS the
   RELEASES, from any loss, liability, damage or cost, including court costs and attorney’s fees that they might
   incur due to minors involvement or participation in the Fort Hays State University Youth Softball Camp and
   related events and activities WHETHER CAUSED BY NEGLIGENCE OF THE RELEASEES OR
   OTHERWISE.

6. As natural or legal guardian(s) of minor, I/we hereby bind myself/ourselves, minor and our executors,
   administrators, heirs, next of kin, successors and assigns to the terms of this release. I/we represent that I/we
   have the legal capacity and authority to act for and on behalf of minor, and I/we agree to indemnify and hold
   harmless Fort Hays State University for any claims made or liabilities assessed against them as a result of any
   insufficiency of my/our legal capacity or authority to act for and on behalf of minor in the execution of the
   foregoing release.

In singing this release, I/we acknowledge and represent that I/we have read it in its entirety, understand it and
voluntarily sign it.

PRINTED NAME OF MINOR

Signature of parent/guardian      Date                Signature of parent/guardian      Date

Printed name of parent/guardian                       Printed name of parent/guardian

Relationship to minor                                 Relationship to minor