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2018 Impact Baseball 17U Tryout Registration Form

PLAYER INFORMATION

PARENT/GUARDIAN #1

PARENT/GUARDIAN #2

MEDICAL/EMERGENCY CONTACT INFORMATION

WAIVER INFORMATION
GENERAL WAIVER/MEDICAL RELEASE
I release and hold harmless Impact Baseball 17U from any and all liability to me or my child as a result of attending the Impact Baseball 17U tryout. I understand I will not be insured by Impact Baseball 17U in any capacity. By signing I agree to fully and forever release, discharge, indemnify, and hold harmless Impact Baseball 16U, its coaches and team manager, from any and all liability for any type of personal injury, including death, as well as property damage that I or my child may sustain as a result of participating in its tryout.

I hereby authorize in advance any necessary medical treatment required by my child or myself while attending any Impact Baseball 17U tryout. I also acknowledge that I will notify the Impact Baseball 17U coaches of any special medical needs or information required by my child.
 

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