Loading...

FOUNDRY BASEBALL LLC - AGREEMENT AND RELEASE OF LIABILITY

The undersigned, (or parent/guardian of participant under 18 years of age), understand that this is a legally binding Release of Liability of Pacific Sports Ventures (PSV), Foundry Baseball LLC and The Foundry.

I/We request permission to participate in a Foundry Baseball sanctioned activity/program occurring at The Foundry or Foundry Baseball approved alternative location as required by the sanctioned activity/program. In consideration of being granted permission toparticipate, I/we agree as follows:

1. Voluntary Activity: I/We understand and agree that participation in this activity is purely voluntary and is not required of me by Foundry Baseball.

2. Release of Liability: I/We, on behalf of myself/the participant, the family heirs, personal representatives, guardians,successors, and assigns, hereby release PSV/The Foundry/Foundry Baseball, their Administrators, Faculty, Trustees, Officers, Directors,Employees, Volunteers, Coaches, Athletic Trainers, Team Physicians, and Agents, (all of whom are referred to as Releasees), from, and agree not to sue or take legal action against Releasees, for any claims that I/We may havearising from, or in connection with any physical, emotional or mental injury or property damage that I may suffer as aresult of my participation in the activity from any cause whatsoever to the extent permitted by law.

3. Acknowledgement of Risk: I/We recognize and appreciate the dangers, hazards, and risks of the activity, which could include serious or even fatal injuries and property damage. I/We attest that I/we have fully considered the risks and hazards, and I/we agree that I have individually assumed the risks involved in this activity.

4. Emergency Medical Treatment: I/We understand and agree that Releasees may not have medical personnel available at the location of the activity. I/We understand and agree that Releasees are granted permission to authorize emergency medical treatment, if necessary, and that such action shall be subject to the terms of this agreement.  I/We understand and agree that Releasees assume no responsibility for any injury or damages, which might arise out of, or in connection with such authorized emergency medical treatment.

5. Fitness to Participate: I/We hereby represent that I /the participant, am physically and mentally able to participate inthe activity/program.  I/the participant have no known health problems, which would present a risk to me in participating in the activity/program.  I/the participant have a known medical condition(s), listed below, which may present a risk to me with participation in the activity. I have/the participant has been approved for participation in sport/fitness activity by a medical professional. I/we understand that I am/the participant is choosing to participate in the activity/program and agree to assume all associated health risks.  Pertinent Medical Conditions (eg: diabetes, asthma, severe allergy, epilepsy, heart condition)

_______________________________________________________________

6. Insurance: I/We represent that I have a comprehensive medical health insurance plan necessary to provide for andpay any medical costs that may be attendant as a result of injury. If such policy does not exist, I/we will be responsible for any expenses incurred as a result of injury/illness while participating in the activity/program.

7. Photo Release: I/We do hereby give permission to Foundry Baseball LLC/PSV/The Foundry, to use my/the participants photograph or photographic image or video in any official PSV/Foundry Baseball business, including, but not limited to: PSV websites, PSV newsletters and newspapers,advertising materials, postcards, and other related media and marketing materials. It is agreed that the use of photograph or photographic image or video shall in no way be used in any other forum other than official PSV business purposes.

I acknowledge that I have carefully read this agreement and fully understand its contents. I acknowledge that I am voluntarily executing this agreement on my own free will. After having the opportunity to consult with legal counsel of my own choosing, I understand that this release means I am giving up, among other things, rights to sue Foundry Baseball/PSV and their Releasees for injuries,damages or losses I may incur.

I also understand that this release binds my heirs, executors, administrators, and assigns, as well as myself. I further acknowledge and understand that this agreement will absolve PSV/Foundry Baseball and their Releasees from any liability in connection with any injury or harm suffered as a result of my/my childs participation in a PSV/Foundry Baseball activity/program. I acknowledge that I have been made aware of any and all risks of participation in the PSV/Foundry Baseball activity/program.

I/We have read and understand that this document is a release of legal rights.

First Participant's Name

First Name*

Middle Name

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Signature*
Second Participant's Name

First Name*

Middle Name

Last Name*
Second Participant's Date of Birth*
Third Participant's Name

First Name*

Middle Name

Last Name*
Third Participant's Date of Birth*
Fourth Participant's Name

First Name*

Middle Name

Last Name*
Fourth Participant's Date of Birth*
Fifth Participant's Name

First Name*

Middle Name

Last Name*
Fifth Participant's Date of Birth*
Sixth Participant's Name

First Name*

Middle Name

Last Name*
Sixth Participant's Date of Birth*
Seventh Participant's Name

First Name*

Middle Name

Last Name*
Seventh Participant's Date of Birth*
Eighth Participant's Name

First Name*

Middle Name

Last Name*
Eighth Participant's Date of Birth*
Ninth Participant's Name

First Name*

Middle Name

Last Name*
Ninth Participant's Date of Birth*
Tenth Participant's Name

First Name*

Middle Name

Last Name*
Tenth Participant's Date of Birth*
Participant's Address
Address Line 1:
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Country:
City:
State/Province:
Zip/Postal:
Parent or Guardian's Email Address

Email*

Confirm Email*
Check to receive information, news, and discounts by e-mail.
Emergency Contact

Emergency Contact's Name*

Emergency Contact's Phone Number*
Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Middle Name

Last Name*

Relationship*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Signature*
Electronic Signature Consent*
By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


One or more problems exist. Please scroll up.

Agree To This Document



Powered by  Smartwaiver