IMPACT WIFFLE CLASSIC REGISTRATION & WAIVER
This form is for collecting individual Impact Classic player registration information, as well as appropriate signatures related to the event's medical release and waiver form (located at the bottom of this page). This entire form must be completed and submitted.
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Email *
PLAYER NAME (LAST, FIRST) *
PLAYER GRADE (as of school year beginning Aug 2023) *
TEAM NAME *
TEAM DIVISION *
MEDICAL RELEASE & WAIVER
MEDICAL RELEASE
I, the parent and/or guardian of the player named below, do hereby grant approval for participation in any and all IMPACT Baseball activities and grant permission to managing personnel or other organizational representatives to authorize and obtain medical treatment by a qualified and licensed medical physician, hospital or medical clinic for the following minor in the event of injury or medical emergency that occurs while participating in said activities, which, in the opinion of the attending physician, may endanger his/her life, cause disfigurement, physical impairment, or undue discomfort if delayed. This authority is granted only when neither parent nor legal guardian is available to grant emergency treatment and only after a reasonable effort has been made to reach me. I assume all risks and hazards incidental to participation, including, but not limited to, transportation to and from activities, and so hereby waive, release, absolve, indemnify and agree to hold harmless the IMPACT, it's Board Members, Officers, Directors, all organizers, sponsors, supervisors, managers, coaches, volunteers, and participants, for any claim arising out of any injury to the player. This release form is completed and signed of my own free will with the sole purpose of authorizing medical treatment under emergency circumstance in my absence.

WAIVER
I, the parent and/or legal guardian of the player named below, do hereby give my permission for him/her to participate in any and all activities of the IMPACT program. I assume full responsibility and assume all risks and hazards incidental to the conduct of the activities including, but not limited to, transportation to and from such activities. I do further hereby agree to release, absolve, indemnify, and hold harmless IMPACT, it's Board Members, Officers, Directors, all it's organizers, sponsors, managers, coaches, and volunteer personnel, in any and all cases of personal injury or personal property damage during any of activities sanctioned by IMPACT. It is understood and agreed that all players will abide by all rules and regulations of IMPACT

In consideration of the IMPACT accepting the participant listed below, I hereby, for myself, my spouse, my heirs, executors, administrators, and assignees, waive and release any and all rights and claims for any and all damages I or they may have against the IMPACT, it's Board Members, Officers, Directors, its successors, and assignees for any and all claims, injuries suffered by myself or the participant at any activity sponsored or sanctioned by IMPACT. I further agree to indemnify and hold harmless all persons and entities named from any claims whatsoever brought on my behalf or on behalf of the player listed below. This agreement will remain in effect for the one calendar year from the date shown below.

ACKNOWLEDGEMENT (Parent/Guardian signature if player younger than 18) *
DATE *
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A copy of your responses will be emailed to the address you provided.
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