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Medical Authorization/Waiver

I hereby release The Grind Factory, North Shore Freedom, RES Angels and Ace Prospect Baseball from any and all claims and liability for any kind of personal injury or property damage due to participation in this program. I certify that my child is in good health and able to participate in all activities. For any attention required for illness or injury, I give permission to The Grind Factory, North Shore Freedom Baseball, RES Angels, and Ace Prospect Baseball to provide such care. I have read and understand the above.

 

Parent/Guardian Signature:

Date: April 12, 2024

First Parent/Legal Guardian Name

First Name*

Last Name*
First Parent/Legal Guardian Age Acknowledgment*
First Parent/Legal Guardian Date of Birth*
I certify that I am 18 years of age or older
First Parent/Legal Guardian Signature*
Second Parent/Legal Guardian Name

First Name*

Last Name*
Second Parent/Legal Guardian Date of Birth*
Third Parent/Legal Guardian Name

First Name*

Last Name*
Third Parent/Legal Guardian Date of Birth*
Fourth Parent/Legal Guardian Name

First Name*

Last Name*
Fourth Parent/Legal Guardian Date of Birth*
Fifth Parent/Legal Guardian Name

First Name*

Last Name*
Fifth Parent/Legal Guardian Date of Birth*
Sixth Parent/Legal Guardian Name

First Name*

Last Name*
Sixth Parent/Legal Guardian Date of Birth*
Seventh Parent/Legal Guardian Name

First Name*

Last Name*
Seventh Parent/Legal Guardian Date of Birth*
Eighth Parent/Legal Guardian Name

First Name*

Last Name*
Eighth Parent/Legal Guardian Date of Birth*
Ninth Parent/Legal Guardian Name

First Name*

Last Name*
Ninth Parent/Legal Guardian Date of Birth*
Tenth Parent/Legal Guardian Name

First Name*

Last Name*
Tenth Parent/Legal Guardian Date of Birth*
Parent or Guardian's Email Address

Email*

Confirm Email*
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Please list player positions

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Age group player is trying out for, League age cut off is May 1st

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Emergency Contact

First Name*

Last 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.


By signing below the Parent or Court-Appointed Legal Guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Last Name*
Parent or Guardian's Age Acknowledgment*
Parent or Guardian's Date of Birth*
I certify that I am 18 years of age or older
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.


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