Manatee Adult Baseball, Inc.
2103 Manatee Avenue West, Bradenton, Florida 34205
Voice: 941-748-8470 - Fax: 941-747-6804
ManateeAdultBB@verizon.net
www.ManateeBaseball.com
Schedule Updates: 941-400-9041
AMATEUR
ATHLETIC WAIVER AND RELEASE OF LIABILITY
READ BEFORE SIGNING
In consideration for allowing me to attend or participate in any way in
the Manatee Adult Baseball, Inc., athletic sports programs, related events and
activities, I, for myself and for everyone I may bind, acknowledge, appreciate
and agree that 1) the risk of injury from the activities involved in this program is
significant, including the potential for permanent paralysis and death, and
while particular rules, equipment, and personal discipline may reduce this
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 full responsibility for my
participation; and, 3) I willingly agree to comply with the stated and
customary terms, rules 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, I, for myself
and on behalf of my heirs, assigns, personal representatives and next of kin,
HEREBY RELEASE AND HOLD HARMLESS Manatee Adult
Baseball, Inc., their 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, to the
fullest extent permitted by law.
I understand that these activities involve physical
exertion and risks of injury by actions, persons, equipment and other things. I
represent that I am in good health and physically able to participate in all
activities. I understand that the program may not provide any insurance except
insurance to protect those providing the fields. The League may use my name and
likeness in any League publications, including web site publications.
My check for the registration deposit ($70) payable
to Manatee Adult Baseball, Inc., is enclosed. (Any difference between
the deposit and actual registration fees will be applied to the game fees
account.) All payments are non-refundable unless the Registration is not
accepted. Once placed on a roster, I agree to pay for all games scheduled for
my team, whether or not I am actually available to play. Submission of this
form and a check does NOT guarantee participation. The program reserves the
right to deny participation or continued participation by any player, at any
time, for any reason without refund.
DATE: _____/_____/_____ NAME: ___________________________________________________________________
E-MAIL ADDRESS: VERY IMPORTANT!! ______________________________________________________________
MAILING ADDRESS: ______________________________________________________________________________
TEL. # (____) _____________ BIRTHDATE: _____/_____/____
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.
SIGNATURE: ________________________________________________________________________
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