Softball

Camp Waiver

Student Name:

Parent/Guardian Name (Emergency Contact):
Emergency Phone:
Email:
Address:
City: State: Zip:

Softball Participation Agreement:
In consideration for my child being permitted to participate and receive softball instruction from any member of the
Georgia Highlands College Staff at any facility, including Stars Field and Biddy Roads Indoor Training Facility, for
related events and activities, the undersigned acknowledge and agrees that: as the natural parent and/or as the
legally authorized guardian, do hereby for myself, my spouse, my child, and on behalf of my/our heirs, personal
representatives, and assigns, agree not to sue and hereby release, waive, discharge, hold harmless and indemnify and
forever defend all instructors/staff representing Georgia Highlands Colleges Camps and Clinics and the institution of
Georgia Highlands College, from any and all liability, losses, claims, actions, suits, procedures, demands, rights, and
causes of action of whatever nature, in law and equity, for any and all known or unknown, foreseen or unforeseen,
bodily or personal injuries, death and permanent injury, illnesses, damage to personal property, or other losses, and
any consequences thereof, including expenses, costs, and attorneys fees, as may be sustained by my child or me arising
out of or in any way associated with my childs participation in private or group instruction, softball training, camp,
clinic, or travel incident thereto, whether by negligence or not to the fullest extent permitted by law. The risk of
serious injury to my child from these sporting activities does exist including the potential for permanent disability and
death. I understand and fully acknowledge that my childs participation in these activities is solely at our own risk and
I assume full responsibility. I hereby further declare that my child is physically able to participate in all softball
activities. Moreover, I hereby understand and affirm that any charges including deductibles related to the medical
care provided to my child will be the responsibility of my primary insurance carrier or me.

Payment, Cancellation, and Food Agreement:

I understand that camps and clinics held by Georgia Highlands College can cancel any, or all camps and clinics for any
reason. In the case of inclement weather, I understand that it is my responsibility to transport my child to the indoor
facility designated by the GHC staff. I understand that refunds will only be given in the form of future camp credits.
Camp payment that is received on the date of the camp will incur a fee. I understand that it is my responsibility
to inform the coaching staff of any food allergy or dietary restriction associated with my childs health.

I have carefully reviewed and voluntarily agree to the terms of the waiver
and release of liability agreement:

Parent/Guardian (Please Print Full Name):
Parent/Guardian Signature (Required):
Date Signed:




Dietary Restrictions or Food Allergies:
Payment Enclosed

Return Payment & Waiver to:

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Georgia Highlands College

c/o: Softball Office
5441 Highway 20 NE
Cartersville, GA 30121