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Volunteer Sign-Up

Chicago Cubs AbilityCAMP

Date: Rescheduled Date - August 4, 2008
Time: 9:45 - 11:45am
Location: California Park (McFetridge Sports Center)
3843 N. California Ave.
Chicago, IL 60618

6:00 - 6:15pm

Registration & Check In
6:15 - 7:45pm Skills Clinic
7:45 - 8:00pm Snacks and Giveaways

This free interactive camp allows participants with disabilities, either physical or developmental to experience first hand the sport of baseball. This fun filled day will include instruction and skill development, use of equipment, games, prizes and end with a snack. Appearances could include players and coaches.

AbilityCAMP:
Participant First Name:
Participant Last Name:
Parent/Guardian Name:
Address:
City:
State:
Zip Code:
Phone:
Email Address:
Age:
Date of Birth:
Sex: Male
Female
Disabilities:
Seizures:

Yes
No

Medications:
Wheelchair:

Manual
Power

Emergency Contact:
Emergency Contact Phone:
 

AbilityCAMP Participant Waiver of Liability

In consideration of my child (participant) being permitted to participate in the Cubs AbilityCAMP offered by the National Sports Center for the Disabled and the Chicago Cubs Baseball Club, on behalf of my child, myself, and anyone who obtains rights from my child or me, I hereby voluntarily waive, fully release and discharge any of the above mentioned agencies and entities, their directors, officers, employees, agents, insurers, various sponsors and paid and non-paid volunteers from liability for injury, illness, death, damage or loss to participant or participant's property arising out of or in any way related to Participant's activities at the Cubs AbilityCAMP. I understand that the staff/volunteers of this camp are not allowed to administer medication or provide personal care such as feeding, toileting, and/or dressing. Anyone needing this type of assistance must make their own arrangements. I have read this form and understand its content and request registration for my child.

Agree: Yes
No
Photo Release
I grant permission for Participant's picture to be used in publicity or brochures related to this event.
Agree: Yes
No
Participant Name:
Parent/Guardian Signature:
Date:
Sign here: __________________________
Please print this page out and bring it to the camp with you.


P.O. Box 1290, Winter Park, Colorado 80482 USA phone: 970.726.1540 or 303.316.1540 Fax 970.726.4112
Denver Office: 633 17th Street, #24, Denver, CO 80202 phone: 303.293.5711 Fax 303.293.5448 Email:
info@nscd.org

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