8u Skills and Drills Clinic Sign Up
Welcome to Miss Scotties Softball Winter Clinics!

8u Clinic:
Date: Saturday January 21, 2023
Time: 4p-530p
Place: Wood Road Elementary
Cost: $5.00 
Payment: Cash at the door. Exact change is much appreciated.

Please fill out the information below by Friday January 20, 2023.
Email *
Player Name *
Birthdate *
Parent Guardian Name *
Address *
Phone Number *
Parent email *
Adult Name/Emergency Phone Contact for during the clinic *
Have you registered your child for Spring 2023 Miss Scotties Recreational Softball? *
1 point
Would you or your employer be interested in sponsoring a team for the season? *
1 point
Required
If yes to sponsoring a team please provide company and contact information.
How did you hear about the clinic?
*
ASSUMPTION OF RISK / WAIVER OF LIABILITY / INDEMNIFICATION AGREEMENT

In consideration of being allowed to participate on behalf of (Miss Scotties Softball) athletic program and related events and activities, the undersigned acknowledges, appreciates, and agrees that: Participation includes possible exposure to and illness from infectious diseases including but not limited to MRSA, influenza, and COVID-19. While particular rules and personal discipline may reduce this risk, the risk of serious illness and death does exist; and,

I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume full responsibility for my participation; and,

I willingly agree to comply with the stated and customary terms and conditions for participation as regards protection against infectious diseases. If, however, I observe and any unusual or significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the nearest official immediately; and, I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE AND HOLD HARMLESS (insert name of sports organization) their officers, officials, agents, and/or employees, 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 ILLNESS, DISABILITY, DEATH, or loss or damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OF RELEASEES OR OTHERWISE, to the fullest extent permitted by law.

I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY AGREEING TO IT, AND AGREE TO IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT. FOR PARTICIPANTS OF MINORITY AGE (UNDER AGE 18 AT THE TIME OF REGISTRATION)

This is to certify that I, as parent/guardian, with legal responsibility for this participant, have read and explained the provisions in this waiver/release to my child/ward including the risks of presence and participation and his/her personal responsibilities for adhering to the rules and regulations for protection against communicable diseases. Furthermore, my child/ward understands and accepts these risks and responsibilities. I for myself, my spouse, and child/ward do consent and agree to his/her release provided above for all the Releasees and myself, my spouse, and child/ward do release and agree to indemnify and hold harmless the Releasees for any and all liabilities incident to my minor child’s/ward’s presence or participation in these activities as provided above, EVEN IF ARISING FROM THEIR NEGLIGENCE, to the fullest extent provided by law. 


I, (Parent and/or Legal Guardian) request that my child (Player) be allowed to participate in this program.  I agree to accept responsibility for the insurance deductible and/or uncovered medical, dental, hospital and doctor bills that may incur from participation of my child in the softball program.  I will not hold Miss Scotties Softball Inc. inclusive of its Board, Directors, Managers, and Coaches responsible in any way.  I further acknowledge all the above information.


ASSUMPTION OF RISK: I agree to indemnify and hold harmless the Town of Malta Parks & Recreation Department, the Town of Malta, the Malta Athletic Association, Miss Scotties Softball, its employees, personnel, independent contractors and volunteers from any and all liability for injuries or damages which may arise as a result of participating in this activity. I assume all risks and hazards incidental to participation on behalf of myself or my child and recognize my child is physically and mentally fit to participate and have not been advised otherwise by a physician. I also understand that I am responsible to determine whether it is safe for my child to participate in this program and assume the risk by enrolling my child in the program. I do hereby waive, relinquish, release, discharge, and hold harmless from any and all liability, for any physical or mental injury or aggravation of any pre-existing illness, handicap, death, loss of enjoyment, or any other harm or loss of nature which may be sustained by me or my child while participating in this activity. I further agree that the coaches or Board personnel may act in an emergency as best fits the situation in the event my emergency contact cannot be reached.


By typing my name below I as the players parent/guardian am stating that I am in agreement of the:   ASSUMPTION OF RISK / WAIVER OF LIABILITY / INDEMNIFICATION AGREEMENT as above. *
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