USSSA BASEBALL WAIVER/RELEASE OF LIABILITY & OFFICIAL BASEBALL TEAM ROSTER

 NAME OF TEAM:__________________________ TEAM IS FROM:_________________________USSSA TEAM SANCTION NUMBER__________________
IMPORTANT: MUST CHECK ONE
CLASSES
____Major Team ____Class "AAA" Team ____ Class "AA" Team

Age Group - Check One: ____6 & Under____7 & Under Coach Pitch ____7 & Under Machine Pitch ____8 & Under Coach Pitch ____ 8 & Under Machine Pitch ____9 & Under
____10 & Under ____11 & Under ____12 & Under ____13 & Under ____14 & Under ____15 & Under ____16 & Under ____17 & Under____18 & Under
____Open Adult ____Over 30 Adult ____Over 40 Adult

READ BEFORE SIGNING:
In consideration of being allowed to participate in any way in the USSSA Baseball athletics/sports program, related events and activities, the undersigned acknowledges, appreciates, and agrees that:
1. The risk of injury from the activities involved in the program is significant, including the potential for permanent paralysis and death, and while particular rules, equipment, and personal discipline may reduce the risk, the risk of serious injury does exist and,
2. 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 all full responsibility for my participation; and,
3. I willingly agree to comply with the stated and customary terms and conditions for participation. If however I observe any unusual 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
4. I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE AND HOLD HARMLESS THE UNITED STATES SPECIALTY SPORTS ASSOCIATION, there 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 INJURY, DISABILITY, DEATH, or loss or damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE.
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 IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.
PARENTS/GUARDIANS SIGNATURE SHOULD BE ON THE SAME NUMBERED LINE AS PLAYER'S NAME APPEARS ON THIS ROSTER. By signing this roster, parent or legal guardian agrees to the above statements and verifies that the date of birth is correct. Parent or legal guardian of each youth player must sign below. FOR PARTICIPANTS OF MINORITY AGE: This is to certify that I, as parent/legal guardian with legal responsibility for this participant, do consent and agree to his/her release as provided above all the Releasees, and, for myself, my heirs, assigns and next of kin, I release and agree to indemnify the Releasees from any and all liabilities incident to my minor child's involvement or participation in these programs as provided above, EVEN IF ARISING FROM THEIR NEGLIGENCE.
PLAYER NAME (please print) DOB PLAYERS SIGNATURE PARENT/GUARDIAN SIGNATURE RELATIONSHIP
1.   I HAVE READ THIS RELEASE I HAVE READ THIS RELEASE  
2.   I HAVE READ THIS RELEASE I HAVE READ THIS RELEASE  
3.   I HAVE READ THIS RELEASE I HAVE READ THIS RELEASE  
4.   I HAVE READ THIS RELEASE I HAVE READ THIS RELEASE  
5.   I HAVE READ THIS RELEASE I HAVE READ THIS RELEASE  
6.   I HAVE READ THIS RELEASE I HAVE READ THIS RELEASE  
7.   I HAVE READ THIS RELEASE I HAVE READ THIS RELEASE  
8.   I HAVE READ THIS RELEASE I HAVE READ THIS RELEASE  
9.   I HAVE READ THIS RELEASE I HAVE READ THIS RELEASE  
10.   I HAVE READ THIS RELEASE I HAVE READ THIS RELEASE  
11.   I HAVE READ THIS RELEASE I HAVE READ THIS RELEASE  
12.   I HAVE READ THIS RELEASE I HAVE READ THIS RELEASE  
13.   I HAVE READ THIS RELEASE I HAVE READ THIS RELEASE  
14.   I HAVE READ THIS RELEASE I HAVE READ THIS RELEASE  
15.   I HAVE READ THIS RELEASE I HAVE READ THIS RELEASE  
16.   I HAVE READ THIS RELEASE I HAVE READ THIS RELEASE  
17.   I HAVE READ THIS RELEASE I HAVE READ THIS RELEASE  
18.   I HAVE READ THIS RELEASE I HAVE READ THIS RELEASE  
19.   I HAVE READ THIS RELEASE I HAVE READ THIS RELEASE  
20.   I HAVE READ THIS RELEASE I HAVE READ THIS RELEASE  
TEAM MANAGER'S AFFIDAVIT - I, the manager of the above team, do hereby state that all of the information supplied above is correct to the best of my knowledge and that all parents or guardians signed the above in their own handwriting. I further agree that each player is eligible to compete with my team in the USSSA Baseball Program in accordance with the USSSA rules governing baseball.
MANAGER'S SIGNATURE_________________________________________________________________DATE______________________
MANAGER'S MAILING ADDRESS_____________________________________________________ MANAGER'S ONE_______________________________________
IMPORTANT - Each team manager shall be responsible to keep legal copies of birth certificates, etc., at all times in case of protest.

USSSA Directors Approval - The above team is registered with the USSSA and has qualified to participate in this event.
_________________________________________________________________(USSSA Baseball State Director