Kenton Ridge Baseball

MEDICAL RELEASE FORM Kenton Ridge Baseball 50+ Collegiate Players Medical Condition: _________________________ College World Series Allergies: __________________________________ Derek Toadvine, Kent State University Current Mediation: _________________________ Players Drafted Pertinent Medical History: ____________________ Greg Beals, New York Mets Kenton TRANSPORTATION INFORMATION Dave Burba, Seattle Mariners Ridge The following person(s) will be assisting in the Adam Eaton, Arizona Diamondbacks transportation of my child to and/or from the camp Baseball Dustin Hermanson, San Diego Padres location: _________________________________ My child will be notified by myself (parent/guardian) Derek Toadvine, New York Yankees Hitting & that he/she is only to get in a car with his Rick White, Pittsburgh Pirates 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 Ohio 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 Kenton Ridge High School 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 .

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