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2023 Parkchester 8u wildcats Travel Team summer Registration

PLAYER INFORMATION / INFORMACIÓN DEL JUGADOR

* First Name / Primer Nombre:

* Last Name / Apellido:

* Ball players Age:

* Birthdate / Fecha de nacimiento:

* Street / Calle:

* City / Ciudad:

* State / Estado:

* Zip Code / Codigo Postal:

* Home Phone / Telefono De Casa:

* Email / Correo electrónico:

* Gender / Genero:

* Grade / Grado:

* Shirt Size / Talla de camisa:

PARENT/GUARDIAN #1 / Padre/ GUARDIÁN/A #1

* First name / Primer Nombre:

* Last name / Apellido:

* E-mail / Correo electrónico:

Home Phone / Telefono De Casa:

Work Phone / Telefono del trabajo:

Cell Phone / Teléfono móvil:

PARENT/GUARDIAN #2 / Padre/ GUARDIÁN/A #2

First name / Primer Nombre:

Last name / Apellido:

E-mail / Correo electrónico:

Home Phone / Telefono De Casa:

Work Phone / Telefono del trabajo:

Cell Phone / Teléfono móvil:

MEDICAL/EMERGENCY CONTACT INFORMATION / INFORMACIÓN DE CONTACTO MÉDICO / DE EMERGENCIA

* Emergency Contact / contacto de emergencia:

* Phone / Telefono:

* Relationship to Player / relación con el jugador:

WAIVER INFORMATION

*** Insert your waiver information here ***
COVID-19 has been declared a worldwide pandemic by the World Health Organization. PKC RBI/Little League has established preventative measures and policies to reduce the risk of spread of COVID-19. PKCRBI/LL cannot, however, guarantee that you, your child(ren), will not become exposed to and infected with COVID-19.
This Waiver and Release of Liability Relating to Coronavirus/COVID-19 (Waiver and Release) is effective for the entire 2021 PKC RBI/LL baseball season and encompasses any and all PKC RBI/LL events and activities (PKC RBI/LL activities).
I acknowledge and understand the contagious nature of COVID-19, and I voluntarily assume the risk that my child(ren) and I may be exposed to or infected by COVID-19 by participating in PKC RBI/LL activities, and that such exposure or infection may result in personal injury, illness, disability, or death.
I acknowledge and understand that the risk of becoming exposed to or infected by COVID-19 while participating in PKC RBI/LL activities may result from the actions, omissions, or negligence of myself and others, including, but not limited to, PKC RBI/LL , volunteers, and all of Parkchester RBI/LL program participants and their families. I acknowledge and understand that it is impossible to eliminate the risk that my child(ren), and my family, become exposed to and infected by COVID-19 when participating in PKCRBI/LL activities.
I voluntarily agree to release PKC RBI/LL and its officers, directors, agents, volunteers, coaches, and insurers (the Released Parties) from and against any and all liability, claims, demands, actions, damages, or causes of action of any kind arising from or related to my child(ren) or I being exposed to or infected by COVID-19 when participating in PKC RBI/LL activities.

I/we agree with the above / Estoy / estamos de acuerdo con lo anterior *

* Parent, Guardian or Adult E-mail:

* indicates required fields