A form which can be used to inform parents about the dangers pf the game and, when signed, to relieve the team/league of liability in case of injury.
Team LIABILITY WAIVER
NAME OF PLAYER ______________________ BIRTH DATE ____________
NAME OF PARENTS ______________________________________________
ADDRESS _______________________________________________________
CITY ______________________ STATE _________ ZIP ______________
Baseball is an exciting sport which may involve collisions with other players, the ball or the ground. The sport is often played in hot, humid weather. Because of these conditions, which are part of the game, players are exposed to the risk of serious injury. Injuries could include, but are not limited to, broken bones, concussions, paralysis, damage to internal organs and even death. Such injuries can result in short term loss of function and/or long term impairment of physical abilities. In an effort to make the game as safe as possible, the coaches of this team will teach the players the skills and rules of baseball. Players must follow coach’s instructions and rules and policies to reduce the possibility of injury. Team rules and policies are distributed to players and parents at a pre-season meeting.
I/we, the undersigned, have read the warnings above and understand that baseball is a physical sport and that there are risks involved in participation. I/we further understand that there is a possibility that my/our child could be injured as a result of her participation.
I/we understand that the team and/or the league carry team medical team insurance to cover players who are members of the team on an “excess” basis only, and that my/our personal insurance will be utilized first.
I/we hereby, on behalf of my/our child and for myself/us, my/our child's heirs, executors and administrators do waive, release and forever discharge any and all rights and claims for damages which I/we or my/our child may have or which may hereafter accrue me/us or my child against the league and its respective officers, representatives, successors and coaches for any injury incurred during practice, games or supervised team travel to and from same; and by signing where designated below, acknowledge that I/we, as parent(s) or guardian(s), has/have received, read, fully understand and agree to all the terms and conditions of this waiver.
I/we give my/our permission for the above named child to participate on the team for the _____ season and I/we hereby certify that he/she is physically fit to take part in the baseball program. I/we further authorize the coaches, or a representative of the __________ league, to use his/her best judgment to protect, assist and seek medical attention for the above named minor in the event of an accident or injury.
HEALTH RESTRICTIONS:_____ YES_____ NO
If YES, please explain.
__________________________________________________________
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Signed - Parent(s) or Guardian(s)Date
