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Official T-Ball/Coach Pitch League Registration Form

IF YOU HAVE ALREADY REGISTERED AND
NEED THE PAYMENT INFORMATION, CLICK HERE

Division
Player's Name
Mailing Address
City
State
Zip
Age
Birthday
Player's Shirt Size
Parent/Guardian Name
Home Phone
Work Phone
Cell Phone
E-mail Address
Emergency Contact Name
Emergency Phone Number

 

CONDITIONS

We the above signed and the undersigned, hereby state that the player listed on this form is a voluntary participant in the above stated program. In consideration of this application to participate in said program, I do hereby release and forever discharge ARIZONA USSSA, LLC, ERIC BELL, AND ANY AND ALL COACHES AND EMPLOYEES OF THE LEAGUE from any and all liabilities, claims, actions and possible causes of action whatsoever that may accrue to me or to my heirs from every and any loss or damage and injury including death, that may be sustained by my person or property while in, at, or on route into and away from said program. AND whereas, the above signed and undersigned is aware of the dangerous nature of his/her undertaking as it relates to loss of life and or limb.

Therefore, it is agreed as follows: That in consideration of being allowed to participate in said program, the undersigned hereby voluntarily assumes all risks from accident or damage to person or property and hereby releases ARIZONA USSSA, LLC, ERIC BELL, AND ANY AND ALL COACHES AND EMPLOYEES OF THE LEAGUE from every claim, liability or demand of any kind for on account of any personal injury or damage of any kind for or on account of any personal injury or damage of any kind sustained or caused by negligence of ARIZONA USSSA LLC, ERIC BELL, AND ANY AND ALL COACHES AND EMPLOYEES OF THE LEAGUE, its sponsors or otherwise.

I hereby authorize any coach and/or authorized ARIZONA USSSA LLC, ERIC BELL, AND ANY AND ALL COACHES AND EMPLOYEES OF THE LEAGUE to act on my behalf, to administer primary first-aid and arrange for appropriate medical treatment, in the case of illness or injury to my child.

Entering my name here certifies that I, the players parent or guardian, agree to the above conditions.

 

 

 

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