Baseline Sports Release and Waiver of Liability
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Email *
Participant's Name *
Age *
Phone Number *
In using Baseline Sports, participants understand that he/she is using Baseline Sports and the facilities at his/her own risk. Baseline Sports and its owners, employees or agents, shall not be liable for any damage whatsoever arising from any personal injury or property loss sustained by participant with his/her family in or about any programs on the premises. Participants and parents assume full responsibility for all injuries and damages which occur in or about any programs on the premises, He/she does hereby fully and forever release discharged hold harmless Baseline Sports, all associated facilities and its owner, employees, and agents from any and all claims, demands, damages or rights of action, present or future resulting from any person’s participation in any programs or use of the facility.  Consent:  I the undersigned parent or guardian/participant do hereby grant authority to the staff at Baseline Sports to render a judgment concerning medical assistance or hospital care in the event of an accident or illness during my absence. I do hereby authorize Baseline Sports and its assigns to utilize any and all photographs, pictures or other likeness of me or anyone assigned guardianship to me, as they deem appropriate in its promotional materials or team films.  The undersigned also acknowledges that registration is not complete until a properly completed registration form and full payment including all applicable taxes has been submitted to Baseline Sports. *
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Signature (Initials) *
Date of Entry: *
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List any conditions that Baseline Sports Inc. and/or a healthcare practitioner should be aware of: *
Reason for Coming into the facility ( Program, Clinic, cage rental, Lesson, Membership,  Organization Team Training,  etc): *
If Participant is 18 or younger
I hereby state that I am the legal parent/guardian of the said participant and agree to all the above terms and conditions.
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