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Canfield Lady Cardinals Softball
Presents
Skills & Drills Tune Up Softball Clinic
Saturday, March 14, 2015
Canfield High School Gymnasium/Canfield High School Centofanti Sports Center
Skills & Drills Tune up Softball Clinic will provide each player with the tools necessary to take her game to the next
level in a challenging and fun-filled atmosphere. Each player will have the opportunity to increase her knowledge of
the game and develop proper fundamentals on the offensive and defensive side of the ball, while working with the
Lady Cardinal’s softball player’s and coach’s.
Cost: $30.00 per player
Ages 7 & 8 and 9 & 10. Morning Session: 10:00 AM to 12:00 PM
Ages 11 & 12 and 13 & 14. Afternoon Session: 1:00 PM to 3:00 PM.
Clinic check-in time will take place 30 minutes prior to the start of the session.
Deadline for early registration is March 4, 2015 to guarantee a t-shirt. All registrations will be accepted,
including walk-ins, up until the start of the clinic. T-shirts will be given based on availability.
What to bring: Gloves, bats, tennis shoes (no spikes) If catchers have their own gear they are encouraged to
bring it with them.
Medical Release Form: www.leaguelineup.com/canfieldsoftballboosters/ and click on “Handouts” then on “Softball
Clinic Medical Release Form”. Fill this out and mail it with your check.
Copies will be available at the clinic.
Mail checks to:
Sandra Sammarco
Make checks payable to: Canfield Softball Boosters.
48 Willow Bend Dr.
Canfield, OH 44406 Any questions please call (330) 509-1656
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Please also include the following information:
RETURN THIS PORTION WITH YOUR CHECK
Players name:
Age group:
T-shirts size (circle one):
Phone number:
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CANFIELD HIGH SCHOOL SPORTS CLINIC
PARTICIPANT HOLD HARMLESS AND MEDICAL CARE FORM
LAST NAME_________________________________ FIRST NAME _______________________________________
I, __________________________________ the undersigned, am the parent or legal guardian with the authority to
execute this Agreement and Release on behalf of _____________________________________ who makes and for whom
I make the following declarations: I am registered to participate in the following activity: Skills & Drills Tune up
Softball Clinic offered by the Canfield High School Softball Team. The activity will take place on March 14, 2015 at
Canfield High School.
My son/daughter has permission to attend and participate in the Skills & Drills Tune up Softball Clinic. As parent or
guardian, I authorize the Clinic Staff, in the event of injury or illness, to administer emergency care and to arrange for any
emergency medical transportation to the nearest Health Care Facility deemed appropriate. I understand that every effort
will be made to contact the parent or guardian prior to any involved treatment. I grant permission to a qualified physician
and other medical personnel to furnish medical care, using the above guidelines, while my son/daughter is attending the
aforementioned clinic. As a parent or guardian, I also agree that I or my insurance carrier will bear the financial
responsibility for any medical treatments administered under the above guidelines.
For myself and my son/daughter I understand and recognize that he/or she is responsible for his/her own well-being and the
well-being of the other participants. I declare that I recognize that it is in my son/daughter’s best interest, as well as that of the
other participants, to follow the suggestions, guidelines, and rules of the activity(ies) supervisors, and coordinators and that their
participation in this activity is entirely voluntary or is at the direction or request of persons or entities not associated with
Canfield High School.
I, for myself and my son/daughter, fully understand and appreciate the potential dangers, hazards and/or risks, directly and/or
indirectly inherent in participating in this activity, which could also include the loss of life, serious loss of limb, or loss of
property. Also, I understand that the consumption of alcohol and/or use of drugs is strictly prohibited and could result in my
son/daughter’s dismissal from further participation in the activity.
I understand that any Canfield High School personnel or agents also participating in this activity are not necessarily medically
trained to care for any physical or medical problems that may occur during this activity. I further understand that Canfield High
School does not carry medical or liability insurance for me while I am participating in this activity. By placing my signature
below, I acknowledge to Canfield High School that I have adequate medical and hospitalization insurance for any injuries that
my son/daughter may incur as a result of participating in this activity.
NOW, THEREFORE, in consideration for my son/daughter being allowed to participate in this activity, I agree for myself
and my son/daughter to indemnify and hold the supervisor(s) and coordinator(s) of this activity, Canfield High School, its
agents, officers, employees, and student volunteers harmless for any and all direct, indirect, special or consequential
damages, or costs, legal and otherwise, which they may incur as a result of my son/daughter’s participation in this
activity(ies), even if due to the negligence of Canfield High School or any person serving in the above-identified
capacities even if the claim is brought by my son/daughter on their own behalf.
I have read the above terms of this Agreement/Release, and I understand and voluntarily agree to the terms and
Conditions. This Agreement/Release shall be binding upon the heirs, executors, and assigns of the undersigned.
Known Allergies: _______________________________ Medications: ________________________________________
Medical Insurance Company: _________________________________ Email:___________________________________
Home Telephone Number: _________________________Work/Cell Telephone Number: _________________________
Home Address: _____________________________________________________________________________________
Emergency Contact Name: __________________________ Emergency Phone Number: __________________________
PARENT/GUARDIAN SIGNATURE: _____________________________________________DATE:_____________