Participant Name *

Participant Grade *

Emergency Contact Name *

Emergency Contact Phone Number *

Emergency Contact Email *

By confirming with "I Agree" in the box below I am agreeing with the following statement: Release Form: I hereby give my child/children permission to participate in the Liberty Hill Baseball Camp. In and for consideration of his participation in this program, I hereby agree and promise that we will not hold the Liberty Hill Independent School District, it’s employees, any instructor, sponsor, or Liberty Hill Baseball Booster Club responsible for any loss, damage, or personal injuries that may incur as a result of participation. I give the staff permission to act for me according to its best judgement in any emergency. I certify that my camper(s) has no physical problems which would impede his participation in the baseball camp. *