BEAVERTON JBO BASEBALL

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2017 BEAVERTON JBO REGISTRATION

PLAYER INFORMATION

* First Name:

* Last Name:

* Street:

* City:

* State:

* Zip Code:

* Phone:

Birthdate:

* Email:

* Grade:

PARENT/GUARDIAN #1

* Firstname:

* Lastname:

EMail:

Home Phone:

Work Phone:

Cell Phone:

PARENT/GUARDIAN #2

Firstname:

Lastname:

Email:

Home Phone:

Work Phone:

Cell Phone:

* PLAYER DIVISION:

WAIVER INFORMATION

CONSENT AND RELEASE OF LIABILITY
1. I/We acknowledge that certain aspects of baseball are inherently dangerous and can result in serious injury including,
but not limited to, being hit by a thrown or batted ball, being hit by a swinging bat, collision with other players, and
injuries from running or sliding. Notwithstanding, I/we, as parent(s) or guardian(s) consent to my child’s participation
in the Beaverton Junior Baseball program.
2. I/We, the parents or guardian of the above-named candidate for a position on a Junior Baseball team, hereby give
approval to participate in any and all Junior Baseball activities, including transportation to and from the activities,
and I/We do hereby waive, release, absolve, indemnify, and agree to hold harmless Junior Baseball of Oregon,
Beaverton Junior Baseball, and, with respect to both organizations their respective organizers, officers, board of
directors, directors, managers, coaches, volunteers, and persons transporting my/our child for any other cause, except
to the extent, and in the amount covered by, accident and liability insurance.
3. It is the intention of the above-named player and his/her parent or guardian by this instrument to exempt and relieve
Junior Baseball of Oregon, Beaverton Junior Baseball, and with respect to both organizations their respective
organizers, officers, directors, board of directors, managers, coaches, volunteers, and any of its agents, servants or
employees from any and all liability for personal injury, property damage, or wrongful death caused by negligence of
the aforesaid.
Items 1, 2, & 3:

I/we agree with the above *

Please print this registration form & make checks payable to:
Beaverton Summer Baseball & Softball Association
and mail to:
P.O. Box 1663
Beaverton OR, 97075

* indicates required fields

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2017 BEAVERTON JBO REGISTRATION