Trip Registered For
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Milton Breakers (November 6-14, 2015)
Santiago (February 20-28, 2016)
Cienfuegos (February 12-20, 2016)
Participant Name
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As evidenced by my initials and signature below, Paul W. Raymond of Baseball Adventures, or any agents, employees, suppliers, or anyone else acting on their behalf, shall not be responsible or liable for any breach of contract, or any intentional or negligent act or omission, in connection with the Cuba Baseball Tour: Milton Breakers, November 6-14, 2015 (“Cuba Baseball Tour: Milton Breakers”), which results in any loss, damage, delay, or injury to me.
Further Baseball Adventures and Paul W. Raymond are not responsible for Acts of God, for breakdown of machinery, acts of government or other authorities (domestic or foreign), war (whether declared or not), hostilities, civil disturbances, strikes, pilferages, epidemics, quarantines, customs regulations, vendor/supplier defaults, or for any other loss, damage, delay, or injury to me.
Baseball Adventures and Paul W. Raymond are not responsible for any additional expenses or liability, medically or otherwise, I may sustain, as a result of any injury, damage, or loss through my participation in any of the Cuba Baseball Tour: Milton Breakers trip activities, sports or affiliated sporting event(s), or at any other time.
As evidenced by my initials and signature below, Paul W. Raymond of Baseball Adventures, or any agents, employees, suppliers, or anyone else acting on their behalf, shall not be responsible or liable for any breach of contract, or any intentional or negligent act or omission, in connection with the Cuba Baseball Tour: Cienfuegos – Havana, February 12-20, 2016 (“Cuba Baseball Tour: Cienfuegos - Havana”), which results in any loss, damage, delay, or injury to me.
Further Baseball Adventures and Paul W. Raymond are not responsible for Acts of God, for breakdown of machinery, acts of government or other authorities (domestic or foreign), war (whether declared or not), hostilities, civil disturbances, strikes, pilferages, epidemics, quarantines, customs regulations, vendor/supplier defaults, or for any other loss, damage, delay, or injury to me.
Baseball Adventures and Paul W. Raymond are not responsible for any additional expenses or liability, medically or otherwise, I may sustain, as a result of any injury, damage, or loss through my participation in any of the Cuba Baseball Tour: Cienfuegos – Havana trip activities, sports or affiliated sporting event(s), or at any other time.
As evidenced by my initials and signature below, Paul W. Raymond of Baseball Adventures, or any agents, employees, suppliers, or anyone else acting on their behalf, shall not be responsible or liable for any breach of contract, or any intentional or negligent act or omission, in connection with the Cuba Baseball Tour: Santiago – Havana, February 20-28, 2016 (“Cuba Baseball Tour: Santiago - Havana”), which results in any loss, damage, delay, or injury to me.
Further Baseball Adventures and Paul W. Raymond are not responsible for Acts of God, for breakdown of machinery, acts of government or other authorities (domestic or foreign), war (whether declared or not), hostilities, civil disturbances, strikes, pilferages, epidemics, quarantines, customs regulations, vendor/supplier defaults, or for any other loss, damage, delay, or injury to me.
Baseball Adventures and Paul W. Raymond are not responsible for any additional expenses or liability, medically or otherwise, I may sustain, as a result of any injury, damage, or loss through my participation in any of the Cuba Baseball Tour: Santiago – Havana trip activities, sports or affiliated sporting event(s), or at any other time.
Email Address
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Additional Emergency Contact
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City
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State
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State
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
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Zip
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Additional Emergency Contact Home Phone
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Additional Emergency Contact Work Phone
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Additional Emergency Contact Cell Phone
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