I hereby release Mike softball trainer llc and its employees from all claims on account of

any injury which may be sustained by my child as a result of participation in the complete

pitching clinic. Furthermore, I certify that within the past year my child has had a

physical examination and that she is physically able to participate in softball activities. In

the event of illness or injury, I hereby give consent for medical treatment and permission

to the attending physician to hospitalize, secure proper treatment, and order injections,

anesthesia, or surgery.

Parent Signature_______________________________

Work Phone _____________ Home Phone__________