PARTICIPATION WAIVER AND MEDICAL AUTHORIZATION

WAIVER MUST BE READ and SIGNED BY PARENT/GUARDIAN FOR ANY PARTICIPANT UNDER AGE 18

Purpose: To give permission for participation in Yampa Valley Youth Baseball Association programs. To enable parents to authorize the provision of emergency treatment for their children who are injured or become ill while under the authority of Yampa Valley Youth Baseball Association staff or volunteers in the event the parents or guardians cannot be reached.

This is to certify that I, as parent/guardian with legal responsibility for this participant, do consent and agree to his/her release as provided above of all the Releases, and for myself, my heirs, assigns, and next of kin, I release and agree to indemnify and hold harmless the Yampa Valley Youth Baseball Association, its Board of Directors, Officers, any and all governing bodies and organizations and all personnel connected therewith, from any and all liability from any claim that arises out of decisions made per this release and all damages resulting from, participation in the Summit Extreme Baseball teams, leagues, practices, tournaments and programs as provided above, EVEN IF ARISING FROM THEIR NEGLIGENCE.

In consideration of the services provided by the club and Releasees, and for being allowed to participate in any way in the Yampa Valley Youth Baseball Association program, related practices, events and activities, my minor child/ward (“my child”), the undersigned acknowledges, appreciates, and agrees that:

1) The risk of injury to my child from the activities involved in the above activities is significant, including the potential for permanent disability and death, and while particular rules, equipment, and personal discipline may reduce this risk,

the risk of serious injury does exist; and,

2) FOR MYSELF, SPOUSE, AND CHILD, 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 child’s participation; and,

3) I willingly agree to comply with the program’s stated and customary terms and conditions for participation.

4) I myself, my spouse, my child, and on behalf of my/our heirs, assigns, personal representatives and next of kin,

HEREBY RELEASE Yampa Valley Youth Baseball Association ITS BOARD, OFFICERS, MANAGERS, COACHES, VOLUNTEERS, as well as THE OTHER Yampa Valley Youth Baseball Association PARTICIPANTS, SPONSORING AGENCIES, SPONSORS, ADVERTISERS, and if applicable, owners and leassors of all equipment and/or premises used to conduct the activities of the organization (“Releases”), WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, or loss or damage to person or property incident to my child’s involvement or participation in these programs, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, to the fullest extent permitted by law.

5) I, for myself, my spouse, my child, and on behalf of my heirs, assigns, personal representatives and next of kin,

HEREBY INDEMNIFY AND HOLD HARMLESS all of the above Releasees from any and all liabilities incident to

my and my child’s involvement or participation in these programs, EVEN IF ARISING FROM THEIR NEGLIGENCE, 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 IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.