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SANTA MONICA

ADULT SOFTBALL LEAGUES

PLAYER RELEASE OF LIABILITY AND REGISTRATION FORM

TEAM NAME

TEAM MGR NAME

__________________________________

___________________________

Player Full Name _____________________________________________________________________

Male _____

Female_____

Date of Birth _________________

Age_______

Home Address _____________________________________________ Apt.# _____________________

City _______________________________________________ Zip Code ________________________

Email Address ________________________________________________________________________

Home Phone (

) _____________________ Alternate Phone (

) _____________________

If you are not a Santa Monica resident, but work in Santa Monica, please complete the following:

Employer Name _____________________________________________Phone (

) ______________________

Employer Address ___________________________________City ________________ Zip Code _____________

Updated contact information is to be provided to the Community Sports Office within 30

days of any changes.

WAIVER, RELEASE AND ASSUMPTION OF RISK: In consideration of my participation in the

Santa Monica Adult Softball Leagues, I hereby waive, release and discharge all claims for

damages for death, personal injury, or property damage which may occur as a result of my

participation in the softball league or any activity incident thereto. This release discharges in

advance the City of Santa Monica, its officers, agents, servants, and employees, game officials

and referees (hereinafter referred to collectively as “CITY”) from liability even though that liability

may arise out of the CITY’S active or passive negligence or carelessness. I acknowledge that

some recreational activities, including softball, involve an element of risk or danger of accidents,

injury and even death, and knowing those risks, I freely and voluntarily assume the risk of injury

and/or death and I promise not to sue or exercise any legal right to seek damages from CITY. By

this Agreement, I also intend to waive, release and discharge all claims for personal injury, death

or property damage caused by the condition of the softball field, lights or any equipment thereon

including bases, balls, bats, mitts, helmets, fences.

I understand that this WAIVER, RELEASE and ASSUMPTION OF RISK form will remain on file

with the CITY and that it will apply to the current season as well as my participation in future

seasons in the Adult Softball Leagues.

I certify that I have no medical condition that would cause participation in the softball leagues to

increase the risk of hazard to my health. In addition, I authorize the CITY to provide or cause to be

provided such medical treatment that may be necessary or appropriate if I am injured while

participating in the softball league.

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Player Initials________

Player Release Of Liability And Registration Form - Santa Monica Adult Softball Leagues

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