Manatee Adult Baseball, Inc.
2103 Manatee Avenue West, Bradenton, Florida 34205
Voice: 941-748-8470 - Fax: 941-747-6804
Schedule Updates: 941-400-9041
ATHLETIC WAIVER AND RELEASE OF LIABILITY
READ BEFORE SIGNING
In consideration for allowing me to attend or participate in any way in the Manatee Adult Baseball, Inc., athletic sports programs, related events and activities, I, for myself and for everyone I may bind, acknowledge, appreciate and agree that 1) the risk of injury from the activities involved in this program is significant, including the potential for permanent paralysis and death, and while particular rules, equipment, and personal discipline may reduce this risk, the risk of serious injury does exist; and, 2) I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume full responsibility for my participation; and, 3) I willingly agree to comply with the stated and customary terms, rules and conditions for participation. If, however, I observe any unusual significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the nearest official immediately; and, I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE AND HOLD HARMLESS Manatee Adult Baseball, Inc., their officers, officials, agents, and/or employees, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors of premises used to conduct the event (“RELEASEES”), WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, or loss or damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, to the fullest extent permitted by law.
I understand that these activities involve physical exertion and risks of injury by actions, persons, equipment and other things. I represent that I am in good health and physically able to participate in all activities. I understand that the program may not provide any insurance except insurance to protect those providing the fields. The League may use my name and likeness in any League publications, including web site publications.
My check for the registration deposit payable to Manatee Adult Baseball, Inc., is enclosed. (Any difference between the deposit and actual registration fees will be applied to the game fees account.) All payments are non-refundable unless the Registration is not accepted. Once placed on a roster, I agree to pay for all games scheduled for my team, whether or not I am actually available to play. Submission of this form and a check does NOT guarantee participation. The program reserves the right to deny participation or continued participation by any player, at any time, for any reason without refund.
DATE: _____/_____/_____ NAME: ___________________________________________________________________
E-MAIL ADDRESS: VERY IMPORTANT!! ______________________________________________________________
MAILING ADDRESS: ______________________________________________________________________________
TEL. # (____) _____________ BIRTHDATE: _____/_____/____
I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.