Golden Eagle Baseball Registration Form by qiant230

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									                        Golden Eagle Baseball Registration Form
                                       (one registration form per player)

                               i complete both sides of form

Name of player:_________________________________ Date of Birth:________ Div.________________

Address:__________________________ City: ____________Zip: _______Telephone #:______________

Parent/Guardian Name:___________________________Cellular Phone # :________________________

Email Address: ____________________________________Work Phone #:: _______________________

Emergency Contact: _______________________________ Emergency Number: ___________________

Medical Insurance Carrier: __________________________ Policy Number: _______________________

School:____________________ M/F_____ Shirt Size: (Circle One) YXS YS YM YL YXL
                                                              AS AM AL AXL A2XL
_____________________________________________________________________________________


Shetland ( 5-6 yrs) $60                 Pinto (7-8 yrs) $70                   Mustang (9-10 yrs) $80

               Bronco (11-12 yrs) $90                     Pony (13-14 yrs)       $100
_____________________________________________________________________________________________


I AM INTERESTED IN A MANAGERS / COACHES POSITION AT THE _______________LEVEL

I AM INTERESTED IN A BOARD POSITION AND WISH TO BE CONTACTED FOR MORE INFO: YES / NO



Reg. Fee                  $_________

Sibling Discount (-$5)    _________    Sibling Name________________________________

Fundraiser or Opt Out     $_________ (purchase 20 x $5= $100 or “opt out” in amount of $75)

TOTAL PAID:               $_________

Check #                    _________



REGISTRATION CHECKLIST:
*REGISTRATIONS WILL NOT BE PROCESSED IF THE FOLLOWING ITEMS ARE NOT COMPLETED

___registration form
___release and hold harmless form
___parent responsibility form
___full payment for registration including fundraiser fees


                                                Golden Eagle Baseball
                                            PO Box 1683, Loomis, CA 95650
                                                  (916) 652-2355
                                            www.goldeneaglebaseball.com
Parent Responsibilities:

Golden Eagle Baseball League has been managed entirely by volunteers
over the past 9 years. Each year, as our membership grows, so does the list
of duties that are necessary to successfully operate the league. Although
not every parent is able to volunteer for time consuming commitments such
as Board Members positions or Team Managers / Coaches, there are many
less demanding tasks that need to be handled throughout the season. A
few volunteer hours from each family will make the difference between a
good league and a great one.

We are requiring that each family indicate below, which duties / committees
they would be willing to volunteer their time if needed. A list will be compiled
for each category and calls will be made on an as needed basis.
(at least one committee position must be marked)
___ Bingo Night
___ Opening Day / Closing Day
___ Team Parent Meeting
___ Fundraising
___ Tryout s
___ Field Maintenance
___ Uniform
___ Team Pictures
___ Trophy

GEB also needs to fill the following Board Positions:
If interested, please mark the appropriate position and a GEB Board Member will contact you.

__ Secretary
..
__ Field Maintenance Coordinator.

__ Events Coordinator
__ Assistant Snack Bar Coordinator
                                  Release and Hold Harmless Waiver
                                    Golden Eagle Baseball League

THIS IS A LEGAL AGREEMENT. UNDER THIS AGREEMENT, YOU ARE ASKED TO
WAIVE (GIVE UP) CERTAIN RIGHTS YOU MAY HAVE. IF YOU SIGN THIS
AGREEMENT YOU GIVE UP ALL OF THOSE RIGHTS. DO NOT SIGN THIS AGREEMENT
UNLESS YOU HAVE READ IT AND UNDERSTAND IT.

GENERAL RELEASE & WAIVER For good and valuable consideration, the sufficiency of which I,
______________________________, hereby acknowledge, I personally and on behalf of and as the parent and/or
legal guardian of _______________________________, and anyone acting on my behalf, including but not limited
to attorneys, representatives, agents, heirs, executors, administrators, assigns, insurers, predecessors, successors
or any other person or entity asserting claims through me, agree to release, indemnify, defend and hold harmless:
Golden Eagle Baseball League and all of their respective directors, officers, shareholders, subsidiaries, partners,
agents, sponsors, employees, successors, parents, beneficiaries, heirs, executors, administrators, assigns and
affiliates thereof (collectively, "Releasees"), from and against any and all claims, suits, losses, damages, expenses,
costs, and liabilities (including reasonable attorneys' fees and expenses) which hereinafter may accrue or arise
against the Releasees and which in any way arise out of or are in anyway related to (a) my child's participation in
the Golden Eagle Baseball League and/or (b) the use of my child's name, photograph, quotation, and likeness in
any advertising or promotions which relate to the league.


PLEASE INITIAL ALL AND SIGN BELOW.

____ I, PERSONALLY AND ON BEHALF OF MY CHILD, UNDERSTAND THE DANGER OF PERSONAL INJURY OR DEATH
THAT MAY RESULT FROM PLAYING BASEBALL AND PARTICIPATING IN THE LEAGUE INCLUDING BUT NOT LIMITED
TO FALLING, BEING STRUCK BY A THROWN OR BATTED BALL, BAT, OR ANOTHER INDIVIDUAL.

____I, PERSONALLY AND ON BEHALF OF MY CHILD, ASSUME ANY AND ALL RISK THAT IS IN ANY WAY
ASSOCIATED WITH, RELATED TO OR OCCURS AS A RESULT OF MY CHILD'S PARTICIPATION IN GOLDEN EAGLE
BASEBALL LEAGUE.

_____I, PERSONALLY AND ON BEHALF OF MY CHILD, HEREBY GIVE RELEASEES, OR ANY ONE OF THEM,
PERMISSION TO USE MY AND/OR MY CHILD'S NAME, PHOTOGRAPH, QUOTATIONS AND LIKENESS IN ANY
ADVERTISEMENTS OR PROMOTIONS PERFORMED IN CONNECTION WITH GOLDEN EAGLE BASEBALL LEAGUE AND
AGREE THAT NEITHER I NOR MY CHILD SHALL BE ENTITLED TO ANY COMPENSATION FOR SUCH USE.

______ I, PERSONALLY AND ON BEHALF OF MY CHILD, HEREBY GIVE MY/OUR APPROVAL TO PARTICIPATE IN ANY AND
ALL LEAGUE ACTIVITIES. I I/WE ASSUME ALL RISK AND HAZARDS INCIDENTAL TO SUCH PARTICIPATION, INCLUDING
TRANSPORTATION TO AND FROM ACTIVITIES; PERSONS TRANSPORTING MY/OUR CHILD. I/WE HEREBY WAIVE,
RELEASE, ABSOLVE, INDEMNIFY AND AGREE TO HOLD HARMLESS GOLDEN EAGLE BASEBALL, THE ORGANIZERS,
SUPERVISORS, PARTICIPANTS, AND PERSONS TRANSPORTING THE PLAYER TO AND FROM THOSE ACTIVITIES
WHETHER THE RESULT OF NEGLIGENCE OR FOR ANY OTHER CAUSE, EXCEPT TO THE EXTENT AND IN THE AMOUNT
COVERED BY ACCIDENT AND LIABILITY INSURANCE.

______I, PERSONALLY AND ON BEHALF OF MY CHILD, HEREBY GRANT PERMISSION TO THE ADULT MANAGER, COACH,
TRAINER, OR BUSINESS MANAGER OF THE TEAM TO OBTAIN MEDICAL CARE, AT MY EXPENSE, FROM ANY LICENSED
PHYSICIAN, HOSPITAL OR MEDICAL CLINIC FOR THE PLAYER NAMED HEREIN AT SUCH TIMES AS EITHER PARENT OR
LEGAL GUARDIAN CANNOT BE CONTACTED IN PERSON OR BY TELEPHONE. THIS AUTHORIZATION SHALL INCLUDE ALL
ACTIVITIES, INCLUDING THE PERIOD REQUIRED TO TRAVEL TO AND FROM THOSE ACTIVITIES; AND I/WE HEREBY
WAIVE, RELEASE, ABSOLVE, INDEMNIFY AND AGREE TO HOLD HARMLESS GOLDEN EAGLE BASEBALL, THE
ORGANIZERS, SUPERVISORS, PARTICIPANTS AND PERSONS TRANSPORTING THE PLAYER TO AND FROM THOSE
ACTIVITIES, FOR ANY AND ALL CLAIMS ARISING OUR OF AN INJURY TO THE PLAYER.


Parent or Legal Guardian Signature

___________________________________________________________

Date ___________ Printed Name ________________________________

								
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