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SCHOOL'S OUT
|
Steve Cosgrove (334) 826-0307 |
Kelly Hillyer (334) 705-0403 |
Jay Harper (334) 826-1313 |
Debra Scott (334) 821-9333 (H) (334) 524-4442 (cell) |
Chris Miller (334) 821-1499 |
Debra Ruffin (334) 821-7950 |
Jimmy Kolaitis (334) 728-0426 |
Name ___________________________Date of Birth___________ Payment Amount: $________
Address ________________________________City ________________ State____ ZIP_________
Phone H________________ W_________________ Emergency_______________
Parents/Guardians Name ____________________________________________
Medical Authorization and Liability Waivers: I/we authorize any medical treatment believed necessary for my/our child in the event of an injury incurred while traveling with, or playing with, the BOYS OF BASEBALL - NATIONAL TRAVEL TEAM. I/ we also agree to release and hold harmless said team and personnel from any expenses incurred, loss, or injury which may result from team involvement and/or activities.
* BOYS OF BASEBALL - NATIONAL TRAVEL TEAM, formed in 1995, is a not-for-profit educational and youth development charitable baseball publicly-supported organization.
All contributions (beyond player participation |
Dr. Stephen E. Cosgrove,
Manager & Coach
Email:
info@boysofbaseball.com |