Frederick Adult Co-Ed Softball League

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Frederick Adult Co-Ed Softball League FACSL Adult Waiver Form

PLAYER INFORMATION

* Team Name:

* First Name:

* Last Name:

* Street Address:

* City:

* State:

* Zip Code:

Phone:

* County of Residency:

* Birthdate:

WAIVER INFORMATION

In consideration of being permitted to participate in any sports activity on Frederick County-owned land, I, the undersigned, acknowledge, agree and understand that:
1. Voluntarily and of my own free will, I elect to participate as a member of the team and organization indicated on this form.
2. There are certain risks and hazards involved in participating in any sport, including the one I have here elected to participate in, that may result in injury or death to me or other players, including, but not limited to, those hazards associated with weather conditions, playing conditions, equipment and other participants.
Further, I, the undersigned participant, agree that in consideration for the right to play as a member of the team designated, and in consideration for permission to play on the fields or courts arranged for by the team or organization throughout this year:
1. I voluntarily elect to accept and assume all risks of injury incurred or suffered by me (a) while practicing or playing as a member of the team so designated, (b) while serving in a non-playing capacity as a team member during practice or play by other players on my team, and (c) while on or upon the premises of any and all of the facilities arranged for by my team or organization for practice or play.
2. I release, discharge and hold harmless the team and organization designated on this form, the facility owner or other entity designated below, the Frederick County Parks and Recreation Division, Frederick County, its officers, agents, associations, employees, or any person or entity connected with the team, organization, or facility for any claim, damages, costs or cause of action which I have or may in the future have as a result of injuries or damages sustained or incurred by me from any cause related to my participation as a member of the team.
3. I agree and warrant that if at any time I believe conditions to be unsafe I will immediately discontinue further participation in the activity.

I/we agree with the above *

I am 18 years old or older. *

If you are unable to submit this form online, please select the appropriate team and men's league status in the drop down menus, Print a Blank Form, complete the form, sign and give to your coach. Thank you!

Signature:

Date:

* indicates required fields

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Frederick Adult Co-Ed Softball League FACSL Adult Waiver Form