• IVOR COMMUNITY ATHLETICS

    YOUTH BASEBALL AND SOFTBALL SIGNUP FORM
  • Format: (000) 000-0000.
  • ASSUMPTION OF RISK / WAIVER OF LIABILITY / INDEMNIFICATION AGREEMENT

    In consideration of the above-named child's being allowed to participate on behalf of IVOR COMMUNITY ATHLETICS, INC. program and related events and activities, the undersigned acknowledges, appreciates, and agrees that:

    Participation includes possible exposure to and illness from infectious diseases including but not limited to MRSA, influenza, and COVID-19. While particular rules and personal discipline may reduce this risk, the risk of serious illness and death does exist; and,

    I acknowledge and agree that participation includes risk of injuries, both serious and minor, associated with playing baseball and softball. These risks include, but are not limited to: injury to the head, neck, or spine (including paralysis); injury to the muscular or skeletal systems; injury to internal or external organs; loss of or damage to sight, hearing, or teeth; death; long or short-term disability; loss of income, career opportunities, or the enjoyment of life; pain; and scarring or disfigurement; and,

    I, the parent or guardian of the above-named player, KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume full responsibility for the participation of the above named child; and,

    I willingly agree to comply with the stated and customary terms and conditions for participation as regards protection against injury, or infectious diseases. If, however, I observe any unusual or significant hazard during my presence or the participation of the above-named child, I will remove my child from participation and bring such to the attention of the nearest official immediately; and,

    I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE AND HOLD HARMLESS (IVOR COMMUNITY ATHLETICS, Inc.) their officers, officials, agents, and/or employees, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors of premises used to conduct the event (“RELEASEES”), WITH RESPECT TO ANY AND ALL ILLNESS, INJURY, DISABILITY, DEATH, or loss or damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OF RELEASEES OR OTHERWISE, to the fullest extent permitted by law.

    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.

    I further  hereby acknowledge and agree that participation in the INDOOR practice facility and batting cages have inherent risks. In consideration of the services provided by ICA, Inc., their agents, officers, participants, consultants, employees and all persons or entities acting in any capacity on their behalf (hereinafter referred to as ICA) I now agree and certify as follows:expressly agree and promise to accept and assume all the risks existing in this activity. My participating in this activity is purely voluntary and I elect, in spite of the risks, to participate. I assume all the foregoing risks and accept personal responsibility for the damages following such injury.
    1. On behalf of myself, my children, my parents, my heirs, assigns, personal representative I hereby voluntarily release, waive, forever discharge, and agree
    to indemnify and hold harmless ICA and each of their respective commissioner, directors, agents, and other employees, its parent, subsidiaries, affiliate, employees, distributors and agents, other batting cage participants, and if applicable, operator or lessors of premises used to conduce the event/activity, from any and all liability for any and all claims, demands of causes of action which are in any way connected with my participation in this activity or my use of ICA equipment or facilities.
    2. I hereby certify that I have adequate insurance to cover any injury or damage I may cause or suffer while participating in these activities or alternatively I agree to bear the cost of such injury or damage myself. I further certify that I have no medical or physical conditions, which could interfere with my safety in this activity, or else I am willing to assume and bear the costs of all risk that may be created, directly or indirectly, by any such condition.
    3. I hereby certify that I am at least 18 years old, or the part or legal guardian of the participant under 18, and I agree I will wear a batting helmet at all times while in the batting cages. I hereby provide ICA permission to administer basic first aid and I authorize ICA or its agents or employees to contact 911 or other emergency personnel as needed.
    6. I hereby certify that I have been given the Rules & Regulations for batting cage use and will adhere to them.
    7. I do hereby give ICA its assigns, licensees, and legal representatives the irrevocable right to use photographs or video in all forms and media and in all manners, including composite, for advertising or marketing for publication or any other lawful purposes, and I waive any right to inspect or approve the finished product, including written copy, internet, etc., which may be created in connection therewith.
    By signing this document, I acknowledge that if anyone is hurt, or property is damaged during participation in this activity a court of law may find me to have waived my right to maintain a lawsuit against ICA and it's agents and officers on the basis of any claim from which I have release
    them herein.
    I HAVE HAD SUFFICIENT TIME TO READ THIS ENTIRE DOCUMENT. I HAVE READ AND UNDERSTOOD IT, AND I AGREE TO BE BOUND BY ITS TERMS.

  • Date
     - -
    2 digit month, 2 digit day, 4 digit year
  • PAYMENTS: this form can no longer be completed without payment. If you need to use something other than what is listed on this form, please reach out to Tara directly. Otherwise, please complete this form along with payment. ALL FEES MUST BE RECEIVED WITH FORM BY AUGUST 10TH. 

    TB/CP/8U SOFTBALL - AND BOYS BASEBALL AND GIRLS SOFTBALL $50

    please contact Tara Kea at 757-617-9854 With Questions. 

     

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          Girls Softball 10U, 13U, 16U
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          Total
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