Season:  2005

San Clemente Girls Softball, Inc.

A California Nonprofit Public Benefit Corporation

PO Box 4586, San Clemente, CA  92674

 

AGREEMENT, WAIVER, AND RELEASE

 

Participant Name

Phone

(Day)

Age

Date of Birth

Phone

(Evening)

Address

City

Zip

Parent/Guardian Names

E-Mail Address

Emergency Contact (Name and Phone Number)

How Many Years Played?

Last Year Played?

 

            The participant will be playing in a girls softball program.  As such, the participant will be subject to catching and hitting balls thrown at a high rate of speed: catching balls in the air and on the ground that are at a high rate of speed: running at a high rate of speed: sliding into bases: possible collision with other participants: possibly being hit by a thrown or hit ball: and other elements common in the sport of baseball and softball.

 

            In consideration for being permitted by San Clemente Girls Softball, Inc. to participate in the above activity, I hereby waive, release, and discharge any and all claims for damages for personal injury, death, or property damage which I may have, or which may hereafter accrue to me, as a result of participation in said activity.  This release is intended to discharge in advance San Clemente Girls Softball, Inc. (its officers, employees, and agents) from any and all liability arising out of or connected in any way with my participation in said activity, even thought that liability may arise out of negligence or carelessness on the part of the persons or entities mentioned above.  It is understood that this activity involves an element of risk and danger of accidents and knowing those risks I hereby assume those risks.  It is further agreed that this waiver, release and assumption of risk is to be binding on my heirs and assigns.  I agree to indemnify and to hold the above persons or entities free and harmless from any loss, liability, damage, cost or expense which they may incur as the result of my death or injury or property damage that I may sustain while participating in said activity.

 

            PARENTAL CONSENT: (to be completed and signed by parent/guardian if applicant is under 18 years of age)

 

            I hereby consent that my daughter ____________________________________ participate in the above activity, and I hereby execute the above Agreement, Waiver and Release on his/her behalf.  I state that said minor is physically able to participate in said activity.  I hereby agree to indemnify and hold the persons and entities mentioned above free and harmless from any loss, liability, damage, cost or expense which they may incur as a result of the death or any injury or property damage that said minor may sustain while participating in said activity.

 

I HAVE CAREFULLY READ THIS AGREEMENT, WAIVER AND RELEASE AND FULLY UNDERSTAND ITS CONTENTS.  I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT BETWEEN MYSELF AND THE SAN CLEMENTE GIRLS SOFTBALL, INC. AND I SIGN IT OF MY FREE WILL.

 

PARENT/GUARDIAN SIGNATURE _____________________________________ DATE _______________

 

PRINT PARENT/GUARDIAN NAME ____________________________________

Distribution:             White copy to League                                              Pink copy to manager                                              Yellow copy to participant