J. FAIGIN'S
BASEBALL
ACADEMY
Registration Form

Please complete the following information:

* Required fields
Name *
E-mail Address *
Child's Name *
Address, City, State, Zip *
Event Attending *
Home Phone *
Cell Phone *
Birth Date *
Grade *
Name of Emergency Contact *
Emergency Contact # *


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I represent that Participant is emotionally ready, in good health, and is given my permission to participate in this program. I understand that there is some risk in playing baseball and baseball related activities and I am willing to assume those risks. I represent that Participant has no ailments or disabilities that would prevent Participant from participating in JFBA activities.    
 
As lawful consideration for participating in JFBA activities, I hereby release from any legal liability JFBA and all of its officers, directors, members, agents, and employees for any and all property damage, personal injury or death caused by or resulting from Participant’s participation in JFBA activities, whether or not such property damage, personal injury or death was caused by or resulted from their negligence or any other cause.
 
I further agree not to sue, claim against, attach the property of, or prosecute JFBA or any of its officers, directors, members, agents, or employees for any property damage, personal injury or death caused by or resulting from Participant’s participation in JFBA activities, whether or not such property damage, personal injury or death was caused by or resulted from their negligence or any other cause.
 
I further agree to defend, indemnify, and hold harmless JFBA and all of its officers, directors, members, agents, and employees for any property damage, personal injury or death caused by or resulting from Participant’s participation in JFBA, whether or not such property damage, personal injury or death was caused by or resulted from their negligence or any other cause.  
 
In case of emergency, I grant my permission to have Participant given emergency treatment at a local hospital. I understand and agree that I am responsible for all medical care expenses incurred to treat the Participant’s injuries including, without limitation, physician, hospital, lab, drug, and device expenses. I also grant permission for any photographs taken of my child in the program to be used for future promotional use.
 
I have carefully read the above and fully understand its content. I am aware that I am releasing certain legal rights that I may have, and I enter into this Release of my own free will.