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CLARKSTOWN SENIOR HIGH SCHOOL SOUTH BASEBALL OFFICE
Due to a new policy with our
insurance agency,
"I do hereby release, discharge, indemnify and hold harmless Clarkstown South Baseball, and its owners, directors and employees, and waive any and all claims or liabilities for any injuries, losses or damages, including without limitations, injuries to my son/daughter and/or property, arising out of or incident to my child's participation in Clarkstown South Baseball Clinics/Training."
Player’s Name: ___________________________________________ Parent / Guardian Name: ____________________________________ Parent / Guardian Signature: _________________________________ Date: ____________________________________________________
Please bring this form to the next baseball clinic. |