Great Lakes Baseball, LLC DBA rmbaseball.com
PLEASE PRINT
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(Participant)
(Date of Birth) (Age)
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(Parent/Guardian) (Other)
__________________________________________________________________________________________________________
(Address)
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(City)
(State)
(Zip Code)
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(Home Telephone No.)
(Cell No.)
In exchange for participants participation
with Great Lakes Baseball, LLC/RMBaseball participants, parent(s) and/or legal guardian(s) of a minor
participant, agrees to the following:
1. ACKNOWLEDGMENT
Participants
, Parent(s) and/or legal guardian(s), acknowledge and fully understand that
there are inherent risks of serious injury or death associated with activities associated with Great Lakes
Baseball,LLC/RMBaseball,. Participant, parents(s) and/or legal guardian(s),
further acknowledge that all inherent risks associated with the activities with
Great Lakes Baseball, LLC/RM Baseball cannot be described in this document.
2. PARTICIPANT WAIVER OF RIGHTS AND RELEASE OF LIABILIY.
Participants,
all parents and/ or legal guardians, hereby release, waives and discharge Great
Lakes Baseball, LLC/RMBaseball, their employees and agents from liability
claims and demands of negligence on the part of Great Lakes Baseball,
LLC/RMBaseball, their employees and agents arising in connection with
participation in Great lakes Baseball LLC/RMBaseball, equipment, including but
not limited to those risks described in paragraph #1 above, providing, however,
that this waiver and release does not include injury, damaged, or loss as
result of the intentional or reckless acts of Great Lakes Baseball,
LLC/RMBaseball, it agents or employees.
I CERTIFY THAT I HAVE READ THIS WAIVER AND RELEASE OF
LIABILITY:
INDEMNIFICATION AND HOLD HARMLESS AGREEMENT AND THAT I
UNDERSTAND THAT I AM GIVING UPSUBSTANTIAL RIGHTS AND ASSUMING SUBSTANTIAL
RESPONSIBILITIES
BY SIGNING IT, AND THAT I SIGN IT VOLUNTARILY.
There will be
a $30.00 NSF fee for any returned checks.
Participant
(Date)
__________________________________________________________________________________________________________
Parent/Legal Guardian
(Date)
_________________________________________________________________________________________________________
E-mail Address
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