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Carefully read the waivers below and fill out the form

Waiver and Release of All Claims and Assumption of Risk


I affirm that the participant ("Player") has my consent to participate in any program(s) offered by the Seymour Ball Club or any of it's affiliates such as the Nationals Little League and Eau Claire Fastpitch. I recognize and acknowledge that there are certain risks of physical injury to participants in these programs, and I agree to assume the full risk of any and all injuries, damages or loss, regardless of severity, that my minor child or I may sustain as a result of said participation. I understand that there is an element of risk inherent in youth sports, and as parent/legal guardian of the Player, I take full responsibility for his/her actions and physical condition. Furthermore, I understand that certain risks, dangers, and injuries due to things such as inclement weather, slipping, falling, poor skill level or conditioning, carelessness, horseplay, unsportsmanlike conduct, premises defect, inadequate or defective equipment, inadequate supervision, instruction or officiating, and all other circumstances inherent to youth sports programs exist. Therefore, it is recognized that it is impossible for Seymour Ball Club to guarantee absolute safety. I release and agree to indemnify and hold harmless Seymour Ball Club LLC and its representatives, volunteers, agents, and any county, town, school district, or venue, including the Nationals Little league and Eau Claire Fastpitch, in which program is being held, from all claims or liability for loss, damages and/or injuries, to the named Player and/or any third parties person or property; caused by and resulting from any causes whatsoever.



Photo/Video Authorization: I hereby give my consent for Seymour Ball Club and it's affiliates to use any photos/videos of myself and/or minor child, in future Seymour Ball Club, flyers, websites, photos and videos of its programs and their participants, which may be used for promotional and instructional purposes.



Return to Play Waiver for Infectious Disease - COVID-19: In consideration of being allowed to participate on behalf of Seymour Ball Club athletic program along with it's affiliates 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 Seymour Ball Club 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 SIGNING IT, AND SIGN IF FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.



Waiver Agreement *

By selecting the checkbox on the registration form, I am indicating that I have read the above document, I understand it completely, and I agree to the policies and waiver outlined above. This serves as my electronic signature.

Concussion Agreement 

I UNDERSTAND AND ACKNOWLEDGE, as a Parent or Legal Guardian and as a Participant, it is important to recognize the signs, symptoms and behaviors of concussions. By signing this form I am stating that I understand the importance of recognizing and responding to the signs, symptoms, and behaviors of a concussion or head injury. This form must be completed for every sports season and for every youth athletic organization the Participant is involved with. 

I HAVE READ the Parent Concussion and Head Injury Information and understand what a concussion is and how it may be caused. I also understand the common signs, symptoms, and behaviors. I agree that the Participant must be removed from practice/play if a concussion is suspected. I understand that it is my responsibility to seek medical treatment if a suspected concussion is reported to me and that the Participant cannot return to practice/play until providing written clearance from an appropriate health care provider to his/her coach. I understand the possible consequences of the Participant returning to practice/play too soon


Waiver Agreement *

By selecting the checkbox on the registration form, I am indicating that I have read the above document, I understand it completely, and I agree to the policies and waiver outlined above. This serves as my electronic signature.

Liability Waiver Release
Do you have a doctor’s permit to participate in intense physical activities?

Thanks for submitting your waiver! -2023 Fall Ball Team

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