Please fill out a separate form for each child attending camp.


Child's DOB*
Address*
Where did you hear about Silver Knights Baseball Camp?*
Week*
$

Fee:

  • $250 per camper per week
  • $500 per camper for both weeks

Waiver: I, as the Parent or Legal Guardian of the Participant, hereby state that I understand the physical nature of the activity as well as any risk involved and agree to release, discharge and hold harmless Granite Diamond, LLC d/b/a Nashua Silver Knights; Creedon and Co., Inc.; the Futures Collegiate Baseball League of New England, Inc.; and the City of Nashua including all of their employees and agents from any and all actions, claims, damages, and/or injuries that might occur during this activity, and I further state that the Participant is accustomed to such activity or has consulted a physician as to the advisability of participation. I, as the Parent or Legal Guardian of the Participant, hereby consent to medical treatment in the event of illness or injury to the Participant. I, as the Parent or Legal Guardian of the Participant, have notified the Silver Knights of all medical/allergies/special needs that the staff should be aware of in connection with participating in this activity. I, as the Parent or Legal Guardian of the Participant, hereby acknowledge and agree that the Silver Knights will take pictures & video on occasion of Participants and use that for marketing and media purposes. I understand there are no refunds after registering a Participant for this activity. If a Participant does not follow the rules or guidelines when registering then he/she will not be allowed to participate. This activity will be conducted rain or shine.

Consent*

SILVER KNIGHTS BASEBALL CAMP MEDICAL HISTORY

To be filled out by parent or guardian. You can either upload a scanned medical history document from the child's doctor or choose to answer the questions on this page. The questionnaire should take 3 minutes to complete. After complete, you will also be asked to download a medication order (if the child will need medication at camp) and a Physician's Report that includes the child's immunization history. If you do not have those available, you may still complete the medical history questionnaire and email or mail the additional forms at a later date. These documents will be shared with the Silver Knights Camp Medical Staff.

How would you like to complete the child's medical history?*
No File Chosen
File uploads may not work on some mobile devices.
Has the camper had any of the following history with childhood diseases:
Has the camper had any of the following history with childhood diseases:
  Yes No
Chicken Pox
German Measles
Measles
Mumps
Whooping Cough
Has the camper had any of the following symptoms or signs:
Has the camper had any of the following symptoms or signs:
  Yes No
Brace Back Support
Bone Joint Other Problems
Bronchitis
Chest Pain
Chronic Diarrhea
Eye Trouble
Fainting Convulsions
Foot Trouble
Food Sensitivity
High Blood Pressure
Has the camper had any of the following:
Has the camper had any of the following:
  Yes No
Appendectomy
Back Trouble
Hernia or Rupture
Meningitis
Mononucleosis
Sinusitis
Sleep Walking
Has the camper had any of the following diseases:
Has the camper had any of the following diseases:
  Yes No
Anemia
Arthritis
Cancer
Colitis
Concussion
Diabetes
Epilepsy or Other Spastic Conditions
Headaches, Migraines
Hearing Difficulty
Heart Trouble, Murmur
Hepatitis, Liver Trouble
Kidney Trouble
Poison Ivy
Neurological or Muscular Disease
Rheumatic Fever
Rectal Disease
Tonsillectomy
Ulcer, Stomach
Urinary Tract Trouble
Does the Camper have asthma?
Does the Camper use an inhaler?
Does the camper have bad reactions to bee stings?
Is there an allergic or unusual reaction to medication or drugs?
Has school attendance been interrupted by illness any time longer than two weeks duration?


The following forms need to be completed by a Licensed Prescriber Physician, Nurse Practitioner or others authorized by Chapter 94C. Completed forms should be emailed to katie@nashuasilverknights.com or mailed to

Nashua Silver Knights
67 Amherst Street
Nashua, NH 03064

Medical Form Download

$
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