DRBA-CSN CAMP ON-LINE REGISTRATION

 

Last Name:

First Name:      AGE:

Address:

City: State: Zip:

Parent  Name:

Phone (H):   Phone (W):

School:   Grade:

Position(s):   Ht:   Wt:   Bat:   Throw:

Extra Work Session:   (Starts at 8:00AM on Tuesday, June 9)

Phone: Email:

RELEASE WAIVER & CONSENT

RELEASE WAIVER AND CONSENT - As the parent or guardian of the player, I understand that this is a competitive contact sport, and I hereby consent to his or her playing the sport and represent that he or she is physically fit and able to participate in this sport.  Further, on my behalf and on behalf of the player, and on behalf of all of our respective heirs, representatives, executors, administrators, relatives, and assigns, we RELEASE, WAIVE, HOLD HARMLESS, INDEMNIFY, AND COVENANT-NOT-TO-SUE Dakota Ridge Baseball Association, its directors, officers, coaches, employees, and agents from and against any and all damages, liabilities, costs, causes of action, proceedings, suits, claims, or demands of any kind or nature whatsoever, which may now exist or which we may have in the future against any of the foregoing named persons on account of personal injury, property damage, death, accident of any kind, or any other damage, loss, or injury arising out of or in any way related to participation in the sport or any event or activity of Dakota Ridge Baseball Association.  The foregoing waiver and indemnification shall apply to the greatest extent allowed by Colorado law.  I give my consent for all emergency medical care undertaken by a coach or volunteer, or prescribed by a physician or other health care provider for the player identified above.  Care may be given under whatever conditions are necessary to preserve the life, limb, or well being of the player.

By placing a checkmark you are agreeing to the release waiver and consent form of the DRBA-CSN camp and registration: