HOME OF THE LONG ISLAND SHARKS BASEBALL CLUB - (Manorville, NY)

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Player Agreement/Waiver

PLAYER INFORMATION

* Team Name:

* Age Group:

* First Name:

* Last Name:

* Street:

* City:

* State:

* Zip Code:

* Home Phone:

* Birthdate:

* Email:

* I\:

hereby wish to participate in the Sharks Baseball Club, Youth Baseball Tournament, Program and/or clinic or camp. By signing this form, I subject myself to the rules and regulations governing play in any of the above listed engagements including the rules and regulations governing play in the Town of Brookhaven Youth Baseball Program. Violations of these rules and regulations may result in disciplinary action against me.

* Electronic Player Signature:

* Lastname:

* Firstname:

PARENT/GUARDIAN

* EMail:

* Cell Phone:

WAIVER AND LIABILITY RELEASE

* I/:

hereby authorize and approve my son/daughter's participation in the Sharks Baseball Club function. I know of no physical conditions or illnesses which would interfere with or prevent their/my participation in this activity. I verify that the information listed on this registration is correct and give my permission for their/my participation.
The undersigned hereby assumes all risks in the performance of YOUTH SPORTS and undertakes complete responsibility for all acts undertaken by the undersigned in connection with the event held by SHARKS BASEBALL CLUB, it's officers, agents, servants, employees and enumerated volunteers, from any and all liability for any personal injuries or property damages suffered.
As a participant in the Tournament, Camp, Clinic or Sports Club, I understand that the Sharks Baseball Club has not undertaken to provide any medical coverage through insurance or any other means for any injury I may suffer as a result of such participation and that I personally assume all risks of injury to myself and any medical costs related thereto. The undersigned further agrees to hold the Sharks Baseball Club harmless from any claims made by any person for any loss, damage or injury resulting from or arising out of any acts or omissions of the undersigned or any other person acting on behalf of the undersigned, with regards to or in connection with the event.

I/we agree with the above *

* Electronic Signature:

* indicates required fields