2010 Sunday Fall Clinic

Instruction by Former Player in the New York Yankees Organization Jason Faigin

Our fall clinic will take place at South Wall Little League Minor League Baseball Field and will run for four consecutive Sundays beginning September 12, 2010 through October 3, 2010. 

Clinic Dates:
Sundays Septemer 12, 19, 26, and October 3
 
Rain Dates:
Sundays October 10, 17, and 24
 
Clinic Price:
$150
 
Clinic Times:
9:00am - 12:00pm
 
Age Groups:
6-13
 
Directions:
South Wall Little League Minor League Baseball Field
Manasquan, New Jersey 08736
2300 Atlantic Ave
 
From Route 35:
To Manasquan Circle and go west on Atlantic Ave. Fields are on the right.
 
From Route 34:
Traveling North:
Take exit by Brian’s Auto Atlantic Ave.  Turn right at stop sign. Bear right at fork on Atlantic Ave. Fields are on left.
 
Traveling South:
Just south of Brielle Circle and overpass, take exit for Manasquan. At stop sign, turn right. Bear right on Atlantic Ave. Fields are on left. 
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Please fill out and return this form to Jason Faigin at P.O. Box 121, Marlboro, NJ 07746. If you would like to pay in full, include a check payable to J. Faigin’s Baseball Academy, LLC. A deposit of $50 per child is necessary to reserve a space for your child. If your child is unable to attend, a credit for future academy session will be provided. Payment is non-refundable.

 
Please be sure to print and complete all information below.
 
 
______________________________________________________________________________________
Child’s Name                                                                                              
 
______________________________________________________________________________________
Parent’s Name                                                                              
 
______________________________________________________________________________________
Street Address
 
______________________________________________________________________________________
City                                         State                                       Zip             
 
______________________________________________________________________________________
Phone #1                                                                                      
 
______________________________________________________________________________________
Phone #2                                                                                      
 
______________________________________________________________________________________
Birth date (mo/day/year)                                                                         Grade         
 
______________________________________________________________________________________
E-Mail                                                                                          
 
______________________________________________________________________________________
Name of Emergency Contact            
 
______________________________________________________________________________________
Emergency Contact #
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RELEASE, WAIVER, AND CONSENT FORM  
J. FAIGIN’S BASEBALL ACADEMY, LLC
 
I am the parent/legal guardian of ________________________ who is, with my permission, a “Participant” in J. Faigin’s Baseball Academy, LLC (“JFBA”).
 
I represent that Participant is emotionally ready, in good health, and is given my permission to participate in this program. I understand that there is some risk in playing baseball and baseball related activities and I am willing to assume those risks. I represent that Participant has no ailments or disabilities that would prevent Participant from participating in JFBA activities.    
 
As lawful consideration for participating in JFBA activities, I hereby release from any legal liability JFBA and all of its officers, directors, members, agents, and employees for any and all property damage, personal injury or death caused by or resulting from Participant’s participation in JFBA activities, whether or not such property damage, personal injury or death was caused by or resulted from their negligence or any other cause.
 
I further agree not to sue, claim against, attach the property of, or prosecute JFBA or any of its officers, directors, members, agents, or employees for any property damage, personal injury or death caused by or resulting from Participant’s participation in JFBA activities, whether or not such property damage, personal injury or death was caused by or resulted from their negligence or any other cause.
 
I further agree to defend, indemnify, and hold harmless JFBA and all of its officers, directors, members, agents, and employees for any property damage, personal injury or death caused by or resulting from Participant’s participation in JFBA, whether or not such property damage, personal injury or death was caused by or resulted from their negligence or any other cause.  
 
In case of emergency, I grant my permission to have Participant given emergency treatment at a local hospital. I understand and agree that I am responsible for all medical care expenses incurred to treat the Participant’s injuries including, without limitation, physician, hospital, lab, drug, and device expenses. I also grant permission for any photographs taken of my child in the program to be used for future promotional use.
 
I have carefully read the above and fully understand its content. I am aware that I am releasing certain legal rights that I may have, and I enter into this Release of my own free will.
 
Signature: ________________________
Name: ___________________________
Address: _________________________
               _________________________
               _________________________
Date: _____/_____/______ 
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