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THUNDER BASEBALL SCHOOL
SMOKY MOUNTAIN CHRISTMAS CLINIC APPLICATION
(please print and fill out this application)


$95

Make check payable to Dwight Smith and mail along with the application to:

Dwight Smith
3909 Valleybrook Drive
Knoxville, TN 37931

*Must be signed by a parent before camper is allowed to participate

Name:
Age Of Camper:
Team:
Address:
City, State, Zip:
E-Mail
Parents: Mom: 
Dad:  
Home Phone:
Mom's Work Phone:
Dad's Work Phone:
Mom's Cell Phone:
Dad's Cell Phone:
High School Coach (if applicable):
Session:
Attending December 18 (ages 13 - '10 Seniors)

I authorize my child's participation in the Smokey Mountain Christmas Clinic and Showcase. I hereby waive, release, discharge and covenant not to sue the Smokey Mountain Christmas Clinic and Showcase, Thunder Baseball School, their employees and instructors from any and all liability, claims, demands, actions, and causes whatsoever arising out of or related to any loss, damage, or injury, including death, that may be sustained by my child, whether caused by the negligence of the releases, or otherwise while participating in such activity, or while in on or upon the premises of Thunder Baseball School. Furthermore, I give the directors and instructors of Smokey Mountain Christmas Clinic and Showcase permission to transport my child to a medical facility if needed. I also give permission for any emergency medical care or treatment by a physician, surgeon, hospital or medical care facility that may be required, and accept responsibility for the cost.

I hereby state that I am the legal guardian of said child.

  *Signature:
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