Central Kansas Baseball League Roster Form (Page 2 of 3) in pdf

Central Kansas Baseball League Roster Form Page 2

Central Kansas Baseball League Roster Form

RELEASE: I understand that injuries are a natural part of many recreation activities. In consideration of the permission granted,

by the Hutchinson Recreation Commission to participate in an adult volleyball or basketball league, I release the Hutchinson

Recreation Commission, it’s agents and employees from all actions, causes of action, damages, claims, or demands which I,

my heirs, executors, administrators, or assigns may have against it and other above described parties, for all personal injuries

known or unknown which has or may incur by participating in the above described activity.

MODEL RELEASE: The undersigned and participant authorize the HRC to use at its discretion any photograph(s) taken of the

participant while participating in any activity and waive any and all claims that the participant or the undersigned of their heirs,

executors, administrators, or assigns may have or claim to have resulting from such photograph(s) or reproduction thereof.

MEDICAL RELEASE: In case of a medical emergency and I cannot be contacted; I give my permission for a HRC representative

to act in my place and to make medical decisions concerning emergency treatment for the participant.

CONDUCT: The participants whose names appear on the other side of this roster form agree to abide by all policies and guidelines

set forth by the HRC regarding this program and violations could result in being expelled from the activity with no refund. By

signing this roster, I agree that I have read this release and understand all of its terms. I execute it voluntarily and with full knowledge

of its significance.

Managers

Signature:___________________________________________________ Date:________________________________

Central Kansas Baseball League Roster Form Page 2