PlayBall Black Sox Registration 2015

Player Information

First Name *

Last Name *

Street Address *

Address Line 2

City *

State *

Zip Code *

Home Phone Number *

Date of Birth *

Playing age as April 30th 2016 *

School Name *

Year of Graduation *

Team(Grade as of Fall 2015) *

14U-9th Grade

16U-11th Grade

18U-12th Grade

Primary Position *

Secondary Position *

Bat *

Throw *

Player's Email address

Player's Cell Phone

BP Cage Jacket *

Jersey Size *

Uniform Number (We will do our best). Please list 3(comma separated). *

Any Medical condition PLAY BALL BLACK SOX should be aware of: *

Family Information

Father's Name *

Father's Email Address *

Father's Cell Phone *

Mother's Name *

Mother's Cell Phone *

Mother's Email Address *

PLAY BALL BLACK SOX 2015 Fall Sport Participation Form

No child will be discriminated based upon a medical condition; it is the responsibility of the parent/guardian to make sure child has medication.

Participant Permit
By answering below I do hereby agree to the following:
• Provide evidence of my child’s birth date as needed by the sport commissioners and/or the association’s administration.
• Will return uniform/ equipment in good physical and laundered condition. I also agree to be responsible for any uniform/ equipment not returned and/or the replacement of such articles and accept the charges associated with the uniform/ equipment replacement costs.
• I hereby bind and obligate myself to have my child participate for the team assigned by the PLAY BALL

I Agree

I Disagree

Insurance Information: In consideration of your accepting this contract, I hereby, for myself, my heirs, executors, administrators, and assigns, waive and release the league, their agents, successors or assignees by reason of injury suffered by my child/myself/and or family member while a participant. Any parent/guardian having a family medical insurance plan shall file a claim with the company not with the PLAY BALL BLACK SOX. *

I Agree

I Disagree

Release and Waiver In consideration of being allowed to participate in any athletic/sports event sponsored by the PLAY BALL BLACK SOX and any related events and activities, and intended to be legally bound, the undersigned :
1. Agree that the parent(s) and/or legal guardian(s) will instruct the minor participant that prior to participating he or she should inspect the facilities and equipment to be used, and if the participant believes anything is unsafe, he or she should immediately advise his or her coach or supervisor of such condition(s) and refuse to participate.
2. Acknowledge and fully understand that each participant, adult, minor, will be engaging in activities that involve risk of serious injury, including permanent disability and death, and severe social and economic losses which might result not only from their own actions, inactions, or negligence, but also form the actions, inactions, or negligence of others, the rules of play, or the conditions of the premises or of any equipment used and further acknowledge and fully understand, that there may be other risk not known to us or not foreseeable at this time.
3. Assume all the foregoing risks and accept personal responsibility for the damages following such injury, permanent disability or death.
4. Release, waive, discharge and covenant not to sue the PLAY BALL BLACK SOX, its affiliated clubs, their respective administrators, directors, agents, coaches, attorneys, and other employees of the organization, other participants, sponsoring agencies, sponsors, advertisers, and, if applicable, owners and lessors of premises used to conduct the event, all of whom are hereinafter referred to as “Releases”, as to and/or from any and all claims, demands, losses or damages on account of injury, including death or damage to property, caused or alleged to be caused in whole or in part by the negligence of the Releases or otherwise. WE HAVE HAD OPPORTUNITY FOR LEGAL COUNSEL OF OUR CHOICE TO REVIEW THIS DOCUMENT ON OUR BEHALF, WE HAVE READ THE ABOVE WAIVER AND RELEASE AND UNDERSTAND THAT WE HAVE GIVEN UP SUBSTANCIAL RIGHTS BY AGREEING BELOW, WE AGREE KNOWINGLY AND VOLUNTARILY. *

I Agree

I Disagree

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