NATIONS BASEBALL WAIVER/RELEASE OF LIABILITY & OFFICIAL BASEBALL TEAM ROSTER
NAME OF TEAM:__________________________ TEAM IS FROM:_________________________TEAM
REGISTRATION NUMBER__________________
IMPORTANT: MUST CHECK ONE CLASSES ____Premier
Team ____Elite Team ____ Select Team
Age Group - Check One: ____6 & Under____7 & Under Coach Pitch ____7 & Under Machine Pitch ____8 & Under Coach Pitch ____ 8 & Under Machine Pitch ____9 & Under
____10 & Under ____11 & Under ____12 & Under ____13 & Under ____14 & Under ____15 & Under ____16 & Under ____17 & Under____18 & Under
READ BEFORE SIGNING:
In consideration of being allowed to participate in any way in the
NATIONS Baseball athletics/sports program, related events and activities, the undersigned acknowledges, appreciates, and agrees that:
1. The risk of injury from the activities involved in the program is significant, including the potential for permanent paralysis and death, and while particular rules, equipment, and personal discipline may reduce the risk, the risk of serious injury does exist and,
2. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume all full responsibility for my participation; and,
3. I willingly agree to comply with the stated and customary terms and conditions for participation. If however I observe any unusual significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the nearest official immediately; and
4. I, for myself and on behalf of my heirs, assigns, personal
representatives and next of kin, HEREBY RELEASE AND HOLD HARMLESS NATIONS
BASEBALL, there officers, officials, agents and/or employees, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors of premises used to conduct the event ("Releasees"), WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, or loss or damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE.
I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.
PARENTS/GUARDIANS SIGNATURE SHOULD BE ON THE SAME NUMBERED LINE AS PLAYER'S NAME APPEARS ON THIS ROSTER. By signing this roster, parent or legal guardian agrees to the above statements and verifies that the date of birth is correct. Parent or legal guardian of each youth player must sign below. FOR PARTICIPANTS OF MINORITY AGE: This is to certify that I, as parent/legal guardian with legal responsibility for this participant, do consent and agree to his/her release as provided above all the
Releasees, and, for myself, my heirs, assigns and next of kin, I release and agree to indemnify the Releasees from any and all liabilities incident to my minor child's involvement or participation in these programs as provided above, EVEN IF ARISING FROM THEIR NEGLIGENCE.
PLAYER NAME (please print)
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DOB
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PLAYERS SIGNATURE
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PARENT/GUARDIAN SIGNATURE
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RELATIONSHIP
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18.
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19.
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20.
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I HAVE READ THIS RELEASE
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I HAVE READ THIS RELEASE
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TEAM MANAGER'S AFFIDAVIT - I, the manager of the above team, do hereby state that all of the information supplied above is correct to the best of my knowledge and that all parents or guardians signed the above in their own handwriting. I further agree that each player is eligible to compete with my team in the
Nations Baseball Program in accordance with the Nations Baseball rules governing baseball.
MANAGER'S SIGNATURE__________________________________________DATE______________________
MANAGER'S MAILING ADDRESS____________________________________________________
MANAGER'S PHONE ______________________________________
IMPORTANT - Each team manager shall be responsible to keep legal copies of birth certificates, etc., at all times in case of protest.
Nations Baseball Director Approval - The above team is registered with
Nations Baseball and has qualified to participate in this event.
_____________________________________________(NATIONS Baseball State Director)