Gatorball Baseball Training

Player Name:

Address:

City:

State: Zip:

Date of Birth:

Age: Shirt Size:

Home Phone:

Parent Email:

Dad Name:

Dad Phone:

Mom Name:

Mom Phone:

Assumption of Risk and Release of Claims Statement:

I acknowledge that I have chosen to enroll my child in Gatorball Baseball Academy and that this activity

may expose them to risks, known and unknown, or personal injury that could be painful, permanently

disfiguring or debilitating and fatal. I recognize and accept the exposure and freely assume these risks

and their consequences, which may also include potential for property loss or damage. It is my intention

by this instrument to exempt Gatorball Baseball Academy, instructors, or employees from liability for

personal injury, property damage, or wrongful death, whether or not caused by negligence occurring to my

child arising as a result of engaging in Gatorball Baseball Academy or any activities incidental there to or

however the same may occur.

I acknowledge that we currently carry medical insurance. I give my consent for my child to receive

emergency medical treatment on the event of injury or illness and agree to be responsible for all costs

associated with their transportation and treatment.

I have read the above statement and agree to the terms