About the Director
About the Director
Step 1 of 4 - Camp Dates
Please choose which camp you will be attending.
Date (s) Attending Baseball Camp
Date (s) Attending Softball Camp
Pick T-Shirt Size
Medical Insurance Company
MUST READ & AGREE
before being enrolled in Lightning Power Inc.
Read Waiver Here
1. Waiver of Liability, Assumption of Risk, and Indemnity Agreement
In consideration of being permitted to participate in any way in Lightning Power Inc. I, for myself, my heirs, personal representatives or assigns, do hereby release, waive, discharge, and covenant not to sue Lightning Power Inc. and its officers, employees, and agents from liability from any and all claims including the negligence of Lightning Power Inc. and its officers, employees and agents, resulting in personal injury, accidents or illnesses (including death), and property loss arising from, but not limited to, participation in Lightning Power Inc..
Assumption of Risks:
Participation in the Lightning Power Inc.s carries with it certain inherent risks that cannot be eliminated regardless of the care taken to avoid injuries. The specific risks vary from one activity to another, but the risks range from 1) minor injuries such as scratches, bruises, and sprains 2) major injuries such as eye injury or loss of sight, joint or back injuries, heart attacks, and concussions to 3) catastrophic injuries including paralysis and death.
I have read the previous paragraphs and I know, understand, and appreciate these and other risks that are inherent in Lightning Power Inc.s. I hereby assert that my participation is voluntary and that I knowingly assume all such risks.
Indemnification and Hold Harmless:
I also agree to INDEMNIFY AND HOLD Lightning Power Inc. their respective officers, employees, and agents, HARMLESS from any and all claims, actions, suits, procedures, costs, expenses, damages and liabilities, including attorney’s fees brought as a result of my involvement in Lightning Power Inc.s and to reimburse them for any such expenses incurred.
The undersigned further expressly agrees that the foregoing waiver and assumption of risks agreement is intended to be as broad and inclusive as is permitted by the law of the State of Florida and that if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect.
2. Permission for Use of Image and Statements
I hereby grant to Lightning Power Inc. permission to reproduce the above minor’s and/or participant’s likeness, identity, voice, photographic image, videographic image and oral or recorded statements in any publication of Lightning Power Inc. intended for research, educational, promotional, fund-raising or other related use, including but not limited to, film broadcast, printed publications, webpages and web-based publications, associated with Lightning Power Inc. .
By clicking Yes below on the form, I waive and release Lightning Power Inc. and its officers, agents and employees, from any claim or liability relating to the use of my likeness, identity, voice, photographic image, videographic image and oral or recorded statements. I acknowledge that Lightning Power Inc. will rely on this permission and release in producing, broadcasting, and distributing materials containing my likeness, identity, voice, photographic image, videographic image or oral or recorded statements, and that I will receive no money or remuneration of any kind from Lightning Power Inc. related to this permission and release or the materials covered by this permission and release.
Acknowledgment of Understanding:
I have read both (1) the waiver of liability, assumption of risk, and indemnity agreement, and (2) permission to use my image, and fully understand the terms. I understand that I am giving up substantial rights, including my right to sue. I acknowledge that I am signing the agreement freely and voluntarily, and intend by my signature to be a complete and unconditional release of all liability to the greatest extent allowed by law.
I am an adult, 18 years or older, and I have read and understand this agreement and I freely and knowingly give my consent to Lightning Power Inc. as described herein. If I am a minor, I, along with my Parent/Guardian, have read and understand this agreement and through my Parent/Guardian freely and knowingly give my consent to Lightning Power Inc. as described herein.
3. Release Authorization For Emergency Treatment
I understand that I am required to maintain and carry accident medical insurance coverage for the child listed on this application and I verify that the coverage information attached herewith is accurate and true. In the case of an emergency, and I cannot be reached. I authorize the staff of Lightning Power Inc. to obtain whatever medical treatment he/she deems necessary for the welfare of my child listed on this application. I further understand that I will be financially responsible for all charges and fess incurred in the rendering of said emergency treatment, regardless of whether or not my medical insurance would cover such charges and fees.
Yes, I READ and AGREE to the Parent Release Form
No, I DO NOT AGREE (Choosing this will stop the application)
YES, I Authorize enrollment and treatment in case of an emergency
NO, I do not Authorize
If using Sibling Discount for Multiple Campers - An invoice will be sent to you for payment.
Multiple Campers (Siblings Discount Applies)
HOW ARE YOU PAYING?
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Pay Online/Paypal (Credit Card)
Register Online (Mail Check)
Summer Baseball/Softball Camp Tuition
Due to Early Registration - MUST BE PAID IN FULL!
1 Week of Camp
2 Weeks of Camp
3 Weeks of Camp
4 Weeks of Camp
5 Weeks of Camp
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