PRINT THIS PAGE AND HAVE A PARENT/GUARDIAN SIGN AND DATE THE FORM AND MAIL IT TO:  

SC BANDITS
P. O. BOX 485
SUMMERVILLE, SC 29484-0485

 

Health Insurance:

 

The cost for treatment of injuries incurred during the camp are the responsibility of the parent/guardian of the participant.  Any insurance carried by the parent/guardian may be used to defray such medical and hospital costs.

 

TO BE ACCEPTED TO PARTICIPATE:

 

I hereby authorize the directors of the July 8, 2015 Hot Time Classic Player's Clinic to act for me accordingly in their best judgment for any emergency requiring medical attention.

I hereby waive/release The University of South Carolina, the SC Bandits, directors and instructors of the Hot Time Classic Player's Clinic and Tyger River Complex of any/all liability for any illness or injury while on the premises.

 

Parent Signature:   ____________________________________________

Date: _______________________________________________________