2015 Floyd County High School Buffaloes Baseball Camp Location: Floyd County High School Baseball Field Dates: Ages: Time: Cost: Monday, July 6th through Wednesday July 8th Grades K-8 (grade entering in fall 2015) 9:00 a.m. – 12:00 (Grades K-3) 1:00 – 4:00 (Grades 4-8) $30 All participants who pre-register will receive a Buffalo Baseball T-Shirt. You may also register at the beginning of camp. ** Make checks payable to FCHS Supervision: During the instruction and practice sessions, the campers are under the close supervision of the coaching and camp staff. _____________________________________________________________________________________________ (Please detach and return with deposit/payment) Camper Name ______________________ Parent/Guardian Name & Phone # _____________________________ School ___________________________ Grade Entering in the fall of 2015__________ Waiver and Release: In consideration of my application being accepted, I, intending to be legally bound, do hereby, my heirs, executers, and administration, waive, release, and forever discharge any and all rights and claims for damage which I may hereafter accrue to me against Floyd County High School, Floyd County High School Basketball Camp, the Camp director, or their respective employees, office, agents, representatives, successors, and/or assignee, for any and all damages which may be sustained or suffered by me in connection with my association with or participation in, or rising out of my traveling to and returning from said school to be participated in on the campus of Floyd County High School. ____________________ ____________________ __________ Camper’s Name Parent/Guardian Signature Date Mail to: Floyd County High School Attn: Daniel Quesenberry 721 Baker Street Floyd, VA 24091
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