Softball Waiver

Brown’s Athletics
Softball
Official Team Roster Form
And Waiver / Release of Liability

Team Information
Team Name Age /Contact Person Name

Team Contact Person Email Address Team Contact Person Home Phone Team Contact Person Cell Phone (on-site phone)

Team Contact Person Work Phone (daytime) Alternate Team Contact Person Name / Email / Phone

PLEASE READ BEFORE SIGNING!
Browns Athletics League WAIVER / RELEASE OF LIABILITY:

In consideration of being allowed to participate in any way in Brown's Athletics sporting events, related events and activities (collectively, the “Event”), the undersigned, for himself/herself,
his/her personal representatives, heirs, and next of kin:

1. Acknowledges, appreciates, and agrees that the risk of injury from the activities involved in the Event is significant, including the potential for injury, permanent paralysis and death; and
2. KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume all full responsibility for my participation; and,
3. Willingly agrees to comply with the stated and customary terms and conditions for participation. If however he/she observes any unusual significant hazard during his/her presence or participation, he/she will remove him/herself from participation and bring such to the attention of the nearest official immediately; and
4. Agrees that all audio and/or video recordings of the materials or any of them as well as all descriptions or summaries of his/her personal history and/or views that are made and used by any licensed party will be solely owned by Brown’s Athletics may copyright its name and for its sole benefit any such audio or video recording of the Event containing the materials or any of them; and
5. Acknowledges, appreciates, and agrees that he/she has read this form and understand that by signing this form, he/she is giving up legal rights and remedies on behalf of him/herself and his/her family, estate, heirs, and/or assigns; and
6. HEREBY INDEMNIFIES, RELEASES AND HOLDS HARMLESS Brown's Athletics,Mecklenburg Park and Recreation , and NSA Softball , its affiliates, subsidiaries and parent entities, and their officers, officials, agents and/ or employees, directors, shareholders, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors of premises used to conduct the event (“Releasees”), WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, or loss or damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE; and
7. HAS READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT HE/SHE HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT and authorizes on his/her behalf any of the Releasees to obtain any medical care or treatment deemed necessary; and
8. REFUND POLICY There will be no refunds granted for any reason before or after the registration deadline. Entry fees are non-refundable after registration deadlines. Any checks that are returned due to insufficient funds, will incur a $25.00 fee and removal from the league if league fee is not satisfied within 48 hours of notification.

**Players may sign if over the age of 18.
Players Full Name
(Please Print)

Date of Birth
Email Address
Phone Number
TEAM CONTACT/COACH’S VERIFICATION: This is to certify that this roster does not include any assumed names and that each player conforms to eligibility rule governing Brown’s Athletics League
OFFICE USE ONLY:
RECEIVED