Waiver/Release of Liability & Official Baseball Team Roster

NAME OF TEAM___________________________________________  TEAM IS FROM____________________________________________
IMPORTANT: MUST CHECK ONE
CLASSES
DIVISION 1
DIVISION 2
 
  AGE GROUP - CHECK ONE:
  8 & UNDER   11 & UNDER    14 & UNDER     17 & UNDER
  9 & UNDER   12 & UNDER    15 & UNDER     OTHER
10 & UNDER   13 & UNDER    16 & UNDER
PLAYER NAME DATE OF BIRTH PLAYERS SIGNATURE PARENT/GUARDIAN SIGNATURE RELATIONSHIP
1   HAVE READ THIS RELEASE HAVE READ THIS RELEASE  
2   HAVE READ THIS RELEASE HAVE READ THIS RELEASE  
3   HAVE READ THIS RELEASE HAVE READ THIS RELEASE  
4   HAVE READ THIS RELEASE HAVE READ THIS RELEASE  
5   HAVE READ THIS RELEASE HAVE READ THIS RELEASE  
6   HAVE READ THIS RELEASE HAVE READ THIS RELEASE  
7   HAVE READ THIS RELEASE HAVE READ THIS RELEASE  
8   HAVE READ THIS RELEASE HAVE READ THIS RELEASE  
9   HAVE READ THIS RELEASE HAVE READ THIS RELEASE  
10   HAVE READ THIS RELEASE HAVE READ THIS RELEASE  
11   HAVE READ THIS RELEASE HAVE READ THIS RELEASE  
12   HAVE READ THIS RELEASE HAVE READ THIS RELEASE  
13   HAVE READ THIS RELEASE HAVE READ THIS RELEASE  
14   HAVE READ THIS RELEASE HAVE READ THIS RELEASE  
15   HAVE READ THIS RELEASE HAVE READ THIS RELEASE  
16   HAVE READ THIS RELEASE HAVE READ THIS RELEASE  
17   HAVE READ THIS RELEASE HAVE READ THIS RELEASE  
18   HAVE READ THIS RELEASE HAVE READ THIS RELEASE  
19   HAVE READ THIS RELEASE HAVE READ THIS RELEASE  
20   HAVE READ THIS RELEASE HAVE READ THIS RELEASE  
In consideration of being allowed to participate in any way in the  NORCAL BPA BASEBALL athletic/sports program, related events and activities, the undersigned acknowledges, appreciates, and agrees that:
  1. The risk of injury from the activities involved in the program is significant, including the potential for permanent paralysis and death, and while particular rules, equipment, and personal discipline may reduce the 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 RELEASES or others, and assume all full responsibility for my participation; and,
  3. I willingly agree to comply with the stated and customary terms 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
  4. I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE AND HOLD HARMLESS BPA , their officers, officials, agents and/or employees, other participants, sponsoring agencies, sponsors, advertisers, and, if applicable, owners and lessees of premises used to conduct the event ("Releases">, WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, or loss or damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASES OR OTHERWISE.
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.
PARENTS/GUARDIANS SIGNATURE SHOULD BE ON THE SAME NUMBERED LINE AS PLAYER'S NAME APPEARS ON THIS ROSTER. By signing this roster, parent or legal guardian agrees to the above statements and verifies that the date of birth is correct. Parent or legal guardian of each youth player must sign below. FOR PARTICIPANTS OF MINORITY AGE: This is to certify that I, as parent/legal guardian with legal responsibility for this participant, do consent and agree to his/her release as provided above of all the Releases, and, for myself, my heirs, assigns and next of kin, I release and agree to indemnify the Releases from any and all liabilities incident to my minor child's involvement or participation in these programs as provided above, EVEN IF ARISING FROM THEIR NEGLIGENCE.
TEAM MANAGER'S AFFIDAVIT -- I, the manager of the above team, do hereby state that all of the information supplied above is correct to the best of my knowledge and that all of the parents or guardians signed the above in their own handwriting. I further agree that each player is eligible to compete with my team in the BPA Baseball Program in accordance with the BPA rules governing baseball.

________________________________________   ________________
MANAGER'S SIGNATURE                                        DATE

MANAGER'S MAILING ADDRESS:____________________________

_________________________________________________________

MANAGER'S PHONE_______________________________________
IMPORTANT - Each team manager shall be responsible to keep legal copies of birth certificates, etc., at all times in case of protest.
DIRECTOR'S APPROVAL -
SIGNED___________________________________________
                      ( NORCAL BASEBALL  DIRECTOR)