MEDICAL RELEASE FORM Kenton Ridge Baseball 50+ Collegiate Players Medical Condition: ______College Allergies: ______Derek Toadvine, Kent State University Current Mediation: ______Players Drafted Pertinent Medical History: ______Greg Beals, Kenton

TRANSPORTATION INFORMATION , Ridge The following person(s) will be assisting in the , transportation of my child to and/or from the camp Baseball , location: ______My child will be notified by myself (parent/guardian) Derek Toadvine, Hitting & that he/she is only to get in a car with his , parents/guardian or any of the persons listed above. Pitching Major Leaguers Camp ASSUMPTION OF RISK/RELEASE FROM Dave Burba LIABILTY & CONSENT FOR TREATMENT: Adam Eaton I, the undersigned, as the parent/guardian of minor 2016 child, ______thereby Dustin Hermanson acknowledge that the aforementioned child is Rick White covered by the following medical Insurance: NCAA Coaches Name of Policy Holder: ______Insurance Company: ______Greg Beals, The State University Policy Number: ______Ben Galbreath, Cedarville University I, the undersigned, as the parent/guardian of ______hereby authorize appropriate medical treatment. It is further understand that does not provide medical insurance covering injuries of any nature incurred at the KR Baseball Camp, from any and all claims, demands and causes Kenton Ridge Baseball of action whatsoever in any way growing out of result Hitting & Pitching Camp from participation of the aforementioned child in the KR Baseball Camp. Kenton Ridge High School Signature of Parent/Legal Guardian: 4444 Middle Urbana Road ______Springfield, OH 45503 Printed Name: ______Phone: (937) 390-1274 Date: ______E-mail: [email protected] HITTING PITCHING REGISTRATION

Hitting Instruction will Pitching and throwing go Player Name: ______focus on mechanics of the hand in hand when talking swing. batting stance, about Baseball. Parent Name: ______The key is to maximize velocity hand position, bat control, and strength without Phone Number: ______and stride will all be compromising the player’s focused on and evaluated overall health. This includes Address: ______by the coaches. throwing with high intensity, Each player will get explosion, and purpose. Age: ______Grade: ______approximately 100 swings The goal is to become more per session, with the focus efficient within the pitching School: ______being on quality, and throwing motions. Position: ______not quantity. Join us to take your baseball skills to the next level! Years of Experience: ______Coaches are also welcome to Attend! Q & A with coaching staff after every lesson! Shirt Size: ______**Participants should bring their own Helmet, Bat & Glove**

Session dates & Prices instructors Make Checks Payable to: Kenton Ridge Baseball

Mail registration or drop off to: March 13, 20, & Aaron Shaffer Kenton Ridge High School Kenton Ridge Head Baseball Coach April 3, 2016 Attn: Aaron Shaffer, Head Baseball Coach Ben Galbreath

Cedarville University Pitching Coach AGES 6-9: 1:00—3:00PM Andy Fitzwater Kenton Ridge Baseball Cost: $65 Kenton Ridge Assistant Coach Hitting & Pitching Camp Larry Ashbaugh Kenton Ridge Assistant Coach Kenton Ridge High School AGES 10-15: 3:30—5:30PM 4444 Middle Urbana Road Cost: $65 Jeff Brown Springfield, OH 45503 Kenton Ridge Assistant Coach Phone: (937) 390-1274

E-mail: [email protected] Camp t-shirt included with Kenton Ridge Varsity registration! Baseball Players