YRBL Player Waiver Form

YORK REGION BASEBALL LEAGUE
PLAYER WAIVER FORM

Please fill out the secure online waiver form below before your first game. If you have any questions contact us at info@yrmbl.com.

Athlete Information

Athlete's Full Name*

First NameLast Name

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Email

example@example.com

Date Of Birth

Date

Phone Number (Provide at least 1)

Home #

Area CodePhone Number

Cell #

Area CodePhone Number

Business #

Area CodePhone Number

E-mail*

Emergency Information

Emergency Contact's Name*

First NameLast Name

Relationship*

Phone Number*

Area CodePhone Number

Alt. Phone Number

Area CodePhone Number

Do you have any allergies, chronic illness, or medical conditions that would limit high level activity?*

YesNo

Please describe.*

Informed Consent and Acknowledgement

I hereby understand and will abide to all York Region Men’s Baseball League/York Region Baseball League rules and regulations. Should I become injured during the year, I will not hold the YRBL or any affiliate association responsible in any way, nor will any of the fees I have paid be returned to me as a result of injury, illness, lack of attendance/withdrawing mid-season or fielding a non-preferred position for the betterment of the team. I hereby understand that fighting, physical abuse of players, umpires or spectators, the use of abusive or offensive language, the abuse of any facility used by our league, the use of alcohol or drugs during any game will not be tolerated by the YRBL and any violation could result in my banishment or suspension from the league and forfeiture of all fees paid.

I have read and agree to the Informed Consent and Acknowledgement.

Please initial*

Confirmation

By entering the information below, I am delivering an electronic signature that will have the same effect as an original manual paper signature. The electronic signature will be equally as binding as an original manual paper signature.

Full Name*

First NameLast Name

Signature*

Confirmation E-mail*

After completing this form, please click Submit Form.

If you have questions please contact us at info@yrmbl.com.