PARENTAL WAIVER, RELEASE OF LIABILITY, INDEMNIFICATION AND CONSENT FORM
I, the undersigned, as the parent or legal guardian of the child named below, do hereby give my full
consent and approval for my child to participate as a member of a baseball team organized by
PERRYVILLE STARS BASEBALL CLUB, INC.
I understand that there are certain risks of damages and injuries, including death, inherent in the
practice and play of baseball, as well as in traveling in other related activities incidental to my child’s
participation, and I am willing to assume these risks on behalf of my child. These risks include, but
are not limited to, those hazards associated with weather conditions, travel, playing conditions,
equipment and other participants.
I understand that the very nature of the game of baseball is hazardous and risky, including, but not
limited to, the acts of pitching the ball, having the ball hit back at the pitcher, fielding the ball,
swinging the bat, running, jumping, stretching, sliding, diving and collisions with other players,
volunteers and stationary objects, all of which can cause serious injury or death to my child and to
other participants.
Further, I agree that in consideration for the right to allow my child to participate as a member of the
team and in consideration for permission to play on the fields arranged for by the team:
1. On behalf of my child and myself, I do voluntarily elect to accept and solely assume all risks of
injury incurred or suffered by my child (a) while practicing or playi ng as a member of the
team, (b) while serving in a non-playing capacity as a team member or observer during
practice or play by other teams or by other players on my child’s team, and (c) while on or
upon the premises of any and all of the fields arranged for by the team for practice or play.
2. In addition to giving my full consent for my child’s participation, I do hereby waive, release,
discharge and agree not to sue PERRYVILLE STARS BASEBALL CLUB, INC., its employees,
agents, or volunteers, the owner or operator of any field, or any person or entity connected
with the team, for any claim, damages, costs including attorneys fees, or cause of action
which I or my child have or may have in the future as a result of damages, injuries, including
death, sustained or incurred by my child from whatever cause including, but not limited to, the
negligence, breach of contract or wrongful conduct of the parties hereby released.
I hereby certify that my child is fully capable of participating in the sport of baseball a nd that my child
is healthy and has no physical or mental disabilities or infirmities that would restrict full participation
in these activities, except as made known to coaches and officials of the team.
I further agree on behalf of myself and my child listed below, that I shall hold harmless and fully
indemnify the parties hereby released from any and all claims, damages, costs including attorney fees,
and causes of action which may arise from any cause of action made by me or by, through or on
behalf of my child, even if the damages, injuries or death are caused in whole or in part by any of the
persons or entities herby released.
I acknowledge (a) that I have read (or have had read to me) each and every one of the provisions in
this waiver, release of liability and indemnification agreement, (b) that I understand each of the
provisions in this agreement and (c) that I agree to abide by them.