Billing Information Person that is paying the registration
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Secondly should my child become injured and I/we are not present and cannot be immediately contacted I/we herby appoint as legal guardian the Farm league for the limited purpose of defining, determining the necessity of and authorizing such medical attention or treatment as they deem appropriate. I/we herby release said officials from any and all liability, claim, or cause of action arising out of the good faith exercise of the power granted by this authorization.
Please provide the following medical information. In the event that your child should require treatment in your absence. The Farm League will attempt to obtain medical treatment from the doctor or facility you designate, if in their judgment, circumstances allow them to do so. Child's Doctors Name Doctor's Phone Number Preferred Medical Facility Address of Medical Facility Insurance Carrier Emergency Phone Number 1 Emergency Phone Number 2 I agree to all the following terms and conditions Parents: On the next page you will be required to pay with your credit card. Your child will not be placed on a team if you do not make your payment online.
Registration fee is $85
THE FARM LEAGUE
8765 Spring Cypress # L 161
Spring , Texas 77379
713 299 3005
All registrations final