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Kansas City Royals AbilityCAMP

Date: May 31, 2008
Time: 10:00 - 12:00pm
Location: Swope Park, Field #2
E. 63rd & Lewis Rd.
Kansas City, MO 64130

9:45 - 10:00am

Registration & Check In
10:00- 11:30am Skills Clinic
11:30 - 12:00pm Snacks & Giveaways

This free interactive camp allows kids with disabilities, either physical or developmental, ages 6-18 to experience first hand the sport of baseball. This fun-filled event will include instruction and skill development, use of equipment, games, prizes and concludes with a snack. Appearances could include players, coaches and Sluggerrr the Royals mascot!!!!

AbilityCAMP: * required
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 Royals Charities AbilityCAMP offered by the National Sports Center for the Disabled, Kansas City Parks & Recreation Department and the Kansas City Royals Baseball Corporation and Royals Charities, 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 Royals Charities 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: 1801 Bryant St, Ste 1500, Denver, CO 80204 ph: 303.293.5711 fx: 303.293.5448 Email:
info@nscd.org

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