Quinte Challenger Baseball 2022 Registration Form

QUINTE CHALLENGER BASEBALL REGISTRATION

ages 4 and older with physical,cognitive and neurological disabilities

week of June 13 to week of Aug 22 2022

No Fee

PLEASE NOTE: Due to the vulnerability of our players, as a safety precaution in hope this will be the last summer of any anxiety, we still will be implementing Covid precautions with limited team sizes, social distancing of 6 ft will be recommended and sanitizing will still be in effect. If you, your player/buddy is unwell, or been exposed to an positive Covid case we ask you please stay home. First 1/2 of the season will be skills, drills and training, 2nd half baseball games. We will be developing skills and doing a lot of hitting for the first half of the season just to make sure Covid restrictions stay lifted, then progress to regular play. Lots of fun but the program needs to keep all players/buddies/coaches safe.

BUDDIES: The league WILL NOT be responsbile for buddies once again this year, just as a precaution due to the vulnerability of some of our players. Once again, this will be strictly enforced. For those players that require a buddy it will be at the discretion of the family and their sole responbility to find a buddy. Buddy and Player must stay together at all times while on the field and must try and maintain 6ft from other players/buddies at all times.

ATHLETE INFORMATION:

Player Name

First NameLast Name

Date of Birth

Date

Are you over 18 ?

Guardian / Parents Names

First NameLast Name

Address

Street Address

Street Address Line 2

City

Postal / Zip Code

Home Phone

Format: (000) 000-0000.

Cell Phone

Format: (000) 000-0000.

E-mail

example@example.com

Does your child use a mobility device?

If yes, what type of device?

PLAYER SHIRT SIZE

Does your child have their own foam/plastic bat?

BUDDY INFORMATION:

Buddy Name:

First NameLast Name

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Email

example@example.com

BUDDY SHIRT SIZE

PLEASE NOTE: the League will do their best to accomodate date/times but due to Covid restrictions, smaller team sizes, this year may be difficult to accomodate all registrations requests. FIRST COME FIRST SERVE on dates and times! Please when choosing consider 1. your child's level of play and 2. date and time, we will try our best to accomodate times.

Younger Group: Ages 4 to 15+ Entry New to Challenger Baseball, for those beginning or for those continuing to develop skills as a challenger athlete. 6:00 pm group is now FULL.

Older Group: Ages 12 - 30+ Some skill level and continuing skill development.

CONSENT

Do you ALLOW your player's image to used in the following: (click all that apply)

WAIVER, RELEASE AND ACKNOWLEDGEMENTS

I am the above mentioned player's parent/legal guardian/substitue decision maker and hereby:

1. give permission for the above named player to participate in any and all activities of the Challenger Baseball program and agree that they are doing so by their own accord; agree that I and my child will abide by all rules and principles while participating in Challenger Baseball Quinte activities and hereby waive Challenger Baseball Quinte and its executive from responsibility for any claims, injuries or damages arising from my or my child’s participation in the program

2. acknowledge that participation in the Challenger Baseball program may result in injuries and that equipment may not prevent all injuries to players. I authorize Quinte Challenger Baseball Inc. and their agents/directors to secure any medical treatment necessary.

3. understand that Quinte Challenger Baseball will, from time to time, photograph, videotape, and/or audiotape players during activities with Challenger Baseball. These photographs/videos/audios will remain the property of Quinte Challenger Baseball and may be used in advertising or marketing campaigns on Quinte Challenger Baseball’s websites, and for promotional and informational material including, but not limited to, flyers, brochures, newsletters, emails, advertisements, newspaper articles, TV or cable interviews/promotions. The player will not be identified by name unless express permission has been granted. The undersigned hereby waives and releases, on behalf of the player, any rights to compensation for, or ownership of, such images and/or sounds and gives permission to Quinte Challenger Baseball to use them for promotional purposes unless Quinte Challenger Baseball has received notice in writing that such consent has been withdrawn; and

4. Understand that when registering your player it is at your own risk and you agree to not bring any claims against Quinte Challenger Baseball, Challenger Baseball Canada, Belleville Minor Baseball Association, Little League Canada, their associations, organizers, officers and their respective agents, officials, servants and representatives and all those who participate in Quinte Challenger Baseball, including but not limited to players, coaches, volunteers, directors/coordinators, and such other persons assisting or volunteering with respect to personal injury, death, property damage and/or other loss suffered as a result of participation in this activity.

This agreement shall be binding upon the above mentioned player, myself, and any other parent/legal guardian of the player.

I hereby legally consent as the following:

I have read and agree to the above conditions

Signature

Additional Notes/ Requests:

After completing this form, please click Submit Form. You will receive a confirmation email. If you do not receive the email within a few minutes, please check your spam; otherwise, please contact us at gxtt.basketball@gmail.com.