Player Name *

First Name

Last Name

Date of Birth

MM

DD

YYYY

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Parent 1 Name *

First Name

Last Name

Parent 1 Cell *

(###)

###

####

Parent 2 Name *

First Name

Last Name

Parent 2 Cell *

(###)

###

####

ASSUMPTION OF RISK AND INDEMNITY *

I understand that baseball is an inherently dangerous sport and I knowingly and willingly assume all risk of injury or other damages associated with my participation in SBA Baseball. I further agree to indemnify, defend and hold harmless SBA Baseball (hereinafter SBA) or any member of the Board of Directors, coaches, volunteers or individuals associated with SBA from any claims, demands, or causes of action asserted against SBA by me or on my behalf for personal injuries (including death) sustained by my child while participating with SBA, regardless of whether my child’s injuries were caused in whole or in part by the negligent acts or omissions with SBA.

I have read the statement above and agree.