DORCHESTER COUNTY T-Ball Open Clinic

DORCHESTER COUNTY T-BALL OPEN CLINIC

FREE T-Ball open clinic for children ages 4 - 6.

Dates: Feb. 26th / Makeup Day Mar. 5th
Time: 9:00 - 10:00 AM
Location: 515 Leonard Ln. Cambridge, Maryland 21613.

Title

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REGISTRATION FEE IS $30.00 PER CHILD

CHECKS OR MONEY- MAKE PAYABLE TO DORCHESTER COUNTY RECREATION AND PARKS

You must return this form to Dorchester County Recreation and Parks, 515-B Leonard Ln. Cambridge, MD 21613 before the registration deadline to guarantee placement on the team. Registration for T-ball is from January to March 18th, 2022. Registrations received after March 18, 2022 will be placed on a waiting list and may not guarantee your child's participation in the league. If you have any questions, you may call Dorchester County Recreation and Parks at

Registration form 2022

All participants must register every year.
Ages 4 - 6 as of April 1st, 2022

Child's Name *

Parent / Guardian Name *

Phone *

Address / State ZIP *

School *

Shirt Sizes *

Child size youth (6-8)

Youth Medium (10-12)

Youth Large (14-16)

Gender of child *

Male

Female

I am willing to help coaching *

Yes

No

Waiver and Release

In consideration of being permitted to participate in the following course/activity, sponsored by the Dorchester County Recreation & Parks, its Officers, Directors, Employees and Agents, including the County Council of Dorchester County, and/or its Agents, Employees, Officers, and Officials:

2022 Dorchester County Recreation & Parks T-Ball Clinic

(Course / Activity)
I as the father/mother and/or natural guardian of the minor child indicated below understand and agree that:

1. 1 acknowledge that I and my child have been advised of medical risks that may result from such participation in the Dorchester T-Ball Clinic (the "Program") offered by Dorchester County, Maryland (the "County") under the Board and Director of Recreation & Parks for Dorchester County, Maryland (herein "Board/Director") and I represent to the County, Board/Director that I and my child have consulted my personal physician or other health authority and my child is physically capable of such participation in the Program without injury or any medical issues.

2. 1 recognize and my child recognizes, the risks of injury and illness inherent in any activity/fitness program and am
participating in the Program under the express agreement and understanding that as the natural guardian of my child, I am
hereby waiving and releasing and holding harmless the County, Board/Director and all County employees and agents from any
and all claims, actions, costs, damages or expenses, including Attorney's Fees and Court Costs (herein collectively "claims")
arising out of my child's participation in the Program or any illness, injury or death resulting from my child's participation in the Program and I, as the natural guardian of my child, hereby agree to indemnify and hold harmless the County, Board/Director from and against all such claims except claims proximately caused by gross negligence or willful misconduct of County, Board/Director. I, as the natural guardian of my child, am waiving any liability of all persons concerned in my child's transportation to and from activities relating to the Program.

3. I, as the natural guardian of my child, hereby execute and deliver this waiver and release voluntarily and with the full
understanding of the contents and consequences thereof and to induce County, Board/Director to permit my child to participate
in the Program.

4. I, as the natural guardian of my child, understand I am responsible for any medical bills, etc. which I may incur resulting
from my child being injured while participating in the Program. This includes all phases of the Program activity.

5. County, Board/Director reserves the right to use photos taken at events. These images will be used for the promotions of future events.

Name of Participant *

Age *

Home / Cell Phone *

Emergency Phone *

Address *

City *

Birth Date

Doctor

Medications / Allergies

Email Address *

The Dorchester County Recreation & Park does not discriminate in admissions, access, treatment or employment programs and activies on the basis of race, color, sex, age, national origin, religion, or disability.

A Parent or Tutuor must stay in the facility until the session is done.

Click Here to download Registration & Waiver form

Dorchester County Recreation & Parks

515 Leonard Lane
Cambridge, Maryland 21613
Phone: 410-228-5578
Fax: 410-228-5966

Location