Team Virginia Mizuno Baseball 2022/2023 Participation & Tryout Waiver

PLEASE READ CAREFULLY

Thank you for your interest in playing for Team Virginia Miunzo baseball. Please realize this is NOT a recreational program and the focus on competition increases dramatically. The philosophy of this program is to give youth an opportunity to play baseball at an advanced level while preparing them to play at the High School & Collegiate levels.

By Signing Up Below I/We understand:

- There is a significant time commitment to your team and teammates.

- This is NOT a recreational program and there is NO minimum playing time requirement.

- Most practices and games are mandatory. Missing practices and games will affect playing time.

- Baseball comes after school functions (ie. band, orchestra, science fair, etc.), major religious functions, and major family functions (vacations, family reunions, etc.).

- Coaches may hold some practices in the offseason. While these practices are not mandatory, every effort should be made to attend in order to avoid falling behind the other players (especially pitchers).

- I/We the parent(s) of a candidate for a position on a Team Virginia Mizuno baseball team, hereby give my/our son approval to her participation in any/all activities during the upcoming season.

- I/We assume all risks and hazards incidental to such participation including transportation to and from activities, and I/We do herby waive, absolve, indemnify and agree to hold harmless the Team Virginia Athletics organization, participants and persons transporting my/our child – except to the extent and in the amount covered by liability insurance.

- I/We will furnish a certified birth certificate upon request.

Players Name *

First Name Middle Name Last Name

Players E-Mail

example@example.com

Players Date of Birth *

Month Day Year

List School Attending This Fall

Grade Entering This Fall *

Players Graduation Year *

Players Current GPA

Team(s) Trying Out For (may choose multiple teams)- *

14U Laws 14U Stephens 12U Howard 11U Lowe

Positions Played *

Pitcher Catcher 1st 2nd 3rd SS Outfield

Primary Position *

Pitcher Catcher 1st 2nd 3rd SS Outfield

Bats- *

Throws- *

Additional Comments (include previous travel teams, playing experience)-

Guardian Name *

First Name Last Name

Guardian E-mail *

Guardian Phone Number *

Area Code Phone Number

Guardian#2 Name

First Name Last Name

Guardian#2 E-mail

Guardian#2 Phone Number

Area Code Phone Number

Players Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

Home Phone Number *

Area Code Phone Number

In consideration of my participation in the foregoing, the undersigned acknowledge and agree to the following: *

I am aware of the existence of the risk on my physical appearance to the venue and my participation to the activity of the Organization that may cause injury or illness such as, but not limited to Influenza, MRSA, or COVID-19 that may lead to paralysis or death. I have not experienced symptoms that of fever, fatigue, difficulty in breathing, or dry cough or exhibiting any other symptoms relating to COVID-19 or any communicable disease within the last 14 days. I have not, nor any member(s) of my household, traveled by sea or by air, internationally within the past 30 days. I did not, nor any member of my household, visit any any area within the United States that was reported to be highly affected by COVID-19, in the last 30 days. I have not been, nor any member(s) of my household, diagnosed to be infected of COVID-19 virus within the last 30 days.

Following the pronouncements above I hereby declare the following: *

I am fully and personally responsible for my own safety and actions while and during may participation and I recognize that I may be in any case be at risk of contracting COVID-19. With full knowledge of the risks involved, I hereby release, waive, discharge the Organization, its board, officers, independent contractors, affiliates, employees, representatives, successors, and assigns from any and all liabilities, claims, demands, actions, and causes of action whatsoever, directly or indirectly arising out of or related to any loss, damage, injury, or death, that may be sustained by me related to COVID-19 while participating in any activity while in, on, or around the premises or while using the facilities that may lead to unintentional exposure or harm due to COVID-19. I agree to indemnify, defend, and hold harmless the Organization from and against any and all costs, expenses, damages, lawsuits, and/or liabilities or claims arising whether directly or indirectly from or related to any and all claims made by or against any of the released party due to injury, loss, or death from or related to COVID-19.

Informed Consent/General Release-Youth Baseball Participants

PLEASE READ CAREFULLY AND SIGN BELOW TO INDICATE YOUR AGREEMENT.
NOTE: THIS FORM INCLUDES A RELEASE OF LIABILITY. ALL WAIVERS AND RELEASES OF LIABILITY ARE CARRIED OVER FOR THE 2021/2022 SEASON IF YOUR CHILD MAKES/ROSTERS ON A TEAM VIRGINIA ATHLETICS / TEAM VIRGINIA MIZUNO TEAM

Since participation in youth sports activities can be dangerous, Team Virginia Athletics requires that all participants (and their adult parent(s) or guardians) to assume all risks associated with youth baseball by signing this general release.

For and in consideration of my child being permitted to participate in Team Virginia Athletics / Team Virginia Mizuno youth baseball activities, I hereby voluntarily release, discharge, waive and relinquish any and all claims or actions for damages for personal injury, permanent disability, death, pandemic illness, or property damage which I or my child may have, or which may here after accrue to me or my child, as a result of my participation in youth baseball activities during play and while I am at any facility while others play or for any other reason. This release is intended to discharge, in advance, Team Virginia Athletics / Team Virginia Mizuno, it’s officers, employees and agents, and the owners and maintainers of any facility used for baseball practice or activities, from any and all liability arising out of or connected in any way with my child’s participation in baseball camps/clinic activities, even though that liability may arise out of negligence or carelessness on the part of Team Virginia Athletics / Team Virginia Mizuno, its officers, agents or employees, or the owners or maintainers of any facility used by Team Virginia Athletics / Team Virginia Mizuno for baseball practice or activities.

I further understand that serious accidents occasionally occur during youth baseball activities, and that participants occasionally sustain serious personal injuries, death, pandemic illness or property damage as a consequence thereof. Knowing the risks, I have voluntarily applied for my child to participate in the activity and thereby agree to assume those risks to release and hold harmless Team Virginia Athletics / Team Virginia Mizuno, its officers, employees or agents, or the owners or maintainers of any facility used by Team Virginia Athletics / Team Virginia Mizuno for baseball practice or activities, who (through negligence or carelessness) might otherwise be liable to me or to my child (or my heirs or assigns) for damages.

I further understand and agree that this release, discharge, waiver, and assumption of risk is to be binding on my and my child’s heirs, executors, administrators, and assigns.

I further agree to indemnify and to hold harmless Team Virginia Athletics / Team Virginia Mizuno, its officers, employees and agents, or the owners or maintainers of any facility used by the Team Virginia Athletics / Team Virginia Mizuno for baseball practices or activities, for any loss, liability damage, cost or expense which may incur as a result of any injury or property damage I or my child may sustain while participating in the activity.

I agree to comply with the program’s stated and customary terms and conditions for participation according to the Team Virginia Athletics / Team Virginia Mizuno If I observe any significant change with regards to my child’s readiness for participation in the program, I will remove my child from the program immediately.

I have read this Informed Consent/General Release, fully understanding its terms, that I give up substantial rights by signing it, and sign it voluntarily.

DO NOT E-SIGN UNTIL YOU HAVE READ THE ABOVE STATEMENT.

By my eSignature below, I certify that I have read, fully understand and accept all terms of the foregoing statement. Please signify your acceptance by entering your full name in the box below

Are there any medical conditions the staff needs to be aware of?

Waiver of Liability Signature *

I accept the terms listed in the agreement above

Date *

Date

Parent's eSignature *

Signature *

Clear

Team Virginia Mizuno Baseball Team Participation & Tryout Registration