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Bucks County Baseball Academy
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Plumstead
Participant Registration & Waiver This form is required for ALL participants.
Event Name, Location, and Dates
Tournament Teams
Participant’s Name
( Home Address)
(City, State, Zip) (Email Address)
Age
P.O. Box 361 Newtown, PA 18940
(Home Phone) (Cell Phone)
Please read and be certain you understand the implications of signing. Express Assumption of Risk Associated with Sport, Venue Use, and Related Activities with Bucks County Baseball, LLC; their officers, directors, employees, representatives, agents, and volunteers; Bucks County Sports Club; Apache Wrestling; Parkview Management, and Appletree Investors, LP. I, by signing and initialing below, do hereby affirm and acknowledge that I and/or my child/player am/is fully aware and knowledgeable of the inherent hazards and risks associated with Bucks County Baseball, LLC, transportation of equipment related to the activities, and travelling to and from activity sites in which I am about to engage. Inherent hazards and risks include but are not limited to: 1. Risk of injury from the activity and equipment utilized is significant including the potential for broken bones, severe injuries to the head, neck, and back or other bodily injuries that my result in permanent disability and death. 2. Possible equipment failure and/or malfunction or misuse of my own or my child’s/player’s or others’ equipment. 3. I AND/OR MY CHILD/PLAYER AGREE THAT I/HE/SHE WILL SUPPLY AND WEAR PROTECTIVE GEAR, ESPECIALLY A HELMET DURING ALL HITTING DRILLS INCLUDING HITTING OFF A TEE, AS DECREED BY THE GOVERNING BODY OF THE SPORT I/HE/SHE AM/IS PARTICIPATING IN. However, protective gear cannot guarantee the participant’s safety. I/HE/SHE further agree that no helmet can protect the wearer against all potential head injuries or prevent injury to the wearer’s face, neck or spinal cord. 4. I AND/OR MY CHILD/PLAYER AGREE to use an L-screen when throwing for all hitting drills. 5. Variation and/or steepness of terrain, variation or changes in surfaces including but not limited to snow surfaces, ice, bare spots, rocks, stumps, debris, cliffs, trees, fences, posts, trees, light poles, signs, buildings, roads, walkways, ramps, rails, stairs, pyramids, manual pads, bowls, half-pipes, jumps, padded and non-padded barriers, other persons, and other natural and man-made hazards. 6. My/his/her own negligence and/or the negligence of others, including but not limited to operator error and guide decision making including misjudging terrain, weather, riding surfaces or other obstacles. 7. Exposure to the elements and temperature extremes may result if frost nip, frost bite, heat exhaustion, heat stroke, sunburn, hypothermia and dehydration. 8. Dangers associated with exposure to natural elements include but are not limited to avalanche, rock fall, inclement weather, thunder and lighting, severe and or varied wind, temperature and other weather conditions. 9. Accidents or illness occurring in remote places where there are no available medical facilities. 10. Fatigue, exhaustion, chill, and/or dizziness, which may diminish my/our/his/her reaction time and increase the risk of accident. 11. Impact or collision with other athletes, spectators, facility employees, pedestrians, motor vehicles, and cyclists. *I and/or My Child/Player understand/s the description of these risks is not complete and unknown or unanticipated risks may result in injury, illness, or death.
Release of Liability, Waiver of Claims and Indemnity Agreement By signing this form, and in consideration for being permitted to participate in the above described activity(ies) and related activities, I hereby agree, acknowledge and appreciate that: 1. I HEREBY RELEASE AND HOLD HARMLESS WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, or loss or damage to person or property, WHETHER CAUSED BY NEGLIGENCE OR OTHERWISE, the following named persons or entities, herein referred to as releases: Bucks County Baseball, LLC; BCB, LLC’s officers, directors, employees, representatives, agents, and volunteers; Bucks County Sports Club; Apache Wrestling; and Parkview Management, Appletree Investors, LP . 2. To release the releasees, their officers, directors, employees, representatives, agents, and volunteers from liability and responsibility whatsoever and for any claims or causes of action that I, my estate, heirs, survivors, executors, or assigns may have for personal injury, property damage, or wrongful death arising from the above activities whether caused by active or passive negligence of the releasees or otherwise. By executing this document, I agree to hold the releasees harmless and indemnify them in conjunction with any injury, disability, death, or loss or damage to person or property that may occur as a result of my engaging in the above activities. 3. By entering into this Agreement, I am not relying on any oral or written representation or statements made by the releasees, other than what is set forth in this Agreement. 4. This agreement shall apply to any and all injury, disability, death, or loss or damage to person or property occurring at any time after the execution of this agreement. This release shall be binding to the fullest extent permitted by law. If any provision of this release is found to be unenforceable, the remaining terms shall be enforceable. 5. BCBA, its coaches, instructors, and directors are not responsible for any lost or stolen items. Please do not ask the coaches, instructors, and directors to hold personal items; we will respectfully decline. Furthermore, we suggest that each camper has his name and phone number on all equipment and personal items. BCBA will keep a lost and found until the last hour on the last day of camp. After this day, any items in the lost and found will be the ownership of BCBA. I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, I FULLY UNDERSTAND ITS TERMS, I UNDERSTAND THAT I/MY CHILD/PLAYER HAVE GIVEN UP LEGAL RIGHTS BY SIGNING IT, AND I SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.
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INITIAL HERE!
[email protected]
www.BucksCountyBaseball.com
215-450-6857
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Bucks County Baseball Academy
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Plumstead
Weather Policy & Refund Policy All attempts will be made to hold camps as scheduled. For Summer Camps, in the event of a heavy, prolonged downpour and/or lightning, the players will move from the fields to a covered area. If the rain persists, campers are to be picked up from camp by their parents/guardians. Camp days that are cut short approximately at or after 12:00PM because of bad weather will be considered a completed day. If a day is not completed, missed hours will be added to the beginning or end of subsequent days to make up the lost time. If a full day is missed and cannot be made up by adding hours to subsequent days, one final day of camp will be held on Saturday of that week from 8:30AM – 12:00noon, field availability permitting. For Indoor Camps, in the event of heavy ice or snow, you will be contacted by email only if camp is going to be cancelled. Also, updates will be done on our Facebook page as well. If camp is held and a player misses that camp, we are not able to provide neither make-up sessions nor a refund. If a camp is cancelled for weather and the hours cannot be made up, a pro-rated refund will be provided. If camp hours are able to be made up because of weather-related cancellations, the tuition balance will be added to a future BCBA summer camp or a pro-rated refund will be given. Refunds will not be given for missed days of camp except for medical or injury-related reasons.
BCBA Indoor Facility Safety Policies and Rules: In consideration of being permitted to use the BCBA Facilities, I acknowledge that I/my child/athlete have/has read and agree to abide by the Safety Policies and Rules listed below as well as those posted within the facility. I also recognize that it is my/my child’s/athgelet’s responsibility to review the Rules and Policies each time I utilize the facility due to changes and modifications that may be made. BCBA reserves the right to deny access to any individual, either temporarily or permanently, for breach of the above Safety Policies, for conduct d deemed unsafe or deemed inappropriate by a BCBA staff member, or for blatant disrespect to the gym and its staff.
1. Use an L-screen when throwing for ALL hitting drills. 2. Participants must wear a helmet during all hitting drills, including hitting of a batting T, soft toss, and live BP. 3. No swinging bats outside of netted/turfed area. 4. No throwing balls outside of netted/turfed area. 5. No throwing balls outside of the facility in its parking lot or surrounding area. 6. No seeds, gum, and/or tobacco on turfed area. 7. No metal cleats on turfed area. 8. All participants (players, coaches, volunteers) must have a waiver signed before using the facility. 9. No running or rowdy behavior. 10. Do not climb or hang on nets. 11. Participants must immediately report all near accidents, accidents, incidents, hazards or equipment damage to a staff person. 12. No smoking in the facility. FOR PARTICIPANTS OF MINORITY AGE: This is to certify that I, as Parent, Guardian, Temporary Guardian, Coach, Instructor, with legal responsibility for this participant, do consent and agree not only to his/her release of all Releasees, but also to release and indemnify the Releasees from any and all liabilities incident to his/her involvement in these programs for myself, my heirs, assigns, and next of kin. Also, I agree to release all rights to photographs and images generated from the Bucks County Baseball, LLC events for publication, web site, and other social mediums. SIGN HERE!
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SIGNATURE
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DATE
Parent or adult legal Guardian if Participant is a Minor OR Adult Participant, and by their signature, they on my behalf release all claims that both they and I have. By signing and initialing below, I do hereby affirm and acknowledge that I and/or my child/player am/is fully aware of all risks inherent in participating in activities with Bucks County Baseball, LLC. We also understand the rules of the facility and the weather policy.
Name of Parent or Adult Legal Guardian OR Adult Participant
Today’s Date
[email protected]
www.BucksCountyBaseball.com
215-450-6857
