3 pages Player InformationStep 1 of 2Name *Email *Birth Year *Phone Number *Please indicate if your phone is a cell phone or land line *Cell PhoneLand LinePlease add any additional phone number(s) below *Please indicate if your additional phone is a cell phone or land line *Cell PhoneLand LineEmergency Contact Name *Emergency Contact Relationship *Emergency Contact Phone Number *Are you a full time resident residing in the Bradenton area? *YesNoActive Flag Paid Flag Rating Paragraph Text In consideration of being allowed to participate in any way in Bradenton Senior Softball Association athletic sports program ("Program"), the undersigned understands and agrees that:Paragraph Text 1. The risks of injury and illness from the activities involved in the Program are significant, and include the potential for serious and permanent injury or death. Such risks include,without limitation, musclo-skeletal injuries and communicable diseases such as MRSA,influenza, and COVID-19. While particular rules, equipment, and personal discipline mayreduce these risks, I understand and acknowledge that the risks of serious injury and illness do exist; and,Paragraph Text (copy) 2. I KNOWINGLY AND VOLUNTARILY ASSUME ALL SUCH RISKS of my participationin the Program, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES; and,Paragraph Text (copy) (copy) 3. I knowingly and voluntarily agree to comply with the stated and customary terms and conditions for participation in the Program. If, however, I observe any unusual or significant hazard during my presence or participation in the Program, I will remove myself from such participation and bring such to the attention of the nearest Association official immediately; and,Paragraph Text (copy) (copy) (copy) 4. I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE AND HOLD HARMLESS Bradenton Senior Softball Association its officers, directors, officials, umpires, agents, and/or employees, other participants,sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors of premises used to conduct the Program (“RELEASEES”), WITH RESPECT TO ANY AND ALL INJURY, ILLNESS, DISABILITY, DEATH, or loss or damage to person or property, resulting from or in any way related to my participation in the Program WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, to the fullest extent permitted by law.Single Line Text Single Line Text (copy) Please enter your name below *Signature * PhonePreviousNextSubmit
