Elite Nation Youth Baseball Organization - (NEW CITY, NY)

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2025 Fall & 2026 Spring-Summer Registration

PLAYER INFORMATION

* First Name:

* Last Name:

Street:

City:

State:

Zip Code:

Home Phone:

* Birthdate:

Email:

Gender:

Grade:

PARENT/GUARDIAN #1

Firstname:

Lastname:

EMail:

Home Phone:

Work Phone:

Cell Phone:

PARENT/GUARDIAN #2

Firstname:

Lastname:

Email:

Home Phone:

Work Phone:

Cell Phone:

MEDICAL/EMERGENCY CONTACT INFORMATION

Emergency Contact:

Phone:

Relationship to Player:

Insurance Carrier:

Policy #:

WAIVER INFORMATION

*** Insert your waiver information here ***
MEDICAL INFORMATION & RELEASE

1. I hereby give permission to the medical personnel selected by ELITE NATION and it?s adult staff to arrange for emergency medical treatment, order x-rays, routine tests, to release any records necessary for insurance purposes; and to provide or arrange necessary related transportation for my child. In the event I am unable to make decisions in an emergency, I hereby give permission to the physician selected by ELITE and its adult staff to secure and administer treatment, including hospitalization, for the child named below.
2. I authorize approved staff members to transport my child in personal vehicles in case of events or emergencies.

Parent?s signature _______________________________________ Date __________________________________

YOUTH PARTICIPANT WAIVER AND RELEASE OF LIABILITY
In consideration of my child ___________________________, being allowed to participate in the ELITE NATION YOUTH BASEBALL/SOFTBALL, the undersigned acknowledges and agrees that:

Participation in sports and/or recreational activities can result in physical injuries. While particular rules, equipment and personal discipline may reduce such risks, the risk of injury, exposure to contagious disease and/or viruses (eg. Measles and Covid-19), serious injury and disability, does exist.

The undersigned, knowingly and freely assumes all such risks, both known and unknown, and assumes full responsibility for the participation of the minor child noted above.

The undersigned, knowingly and freely assumes all such risks, both known and unknown, and assumes full responsibility for the participation of the minor child noted above.
The undersigned, on his or her behalf, on behalf of the child noted above, and behalf of all heirs, assigns, personal representatives, and next of kin, hereby releases and holds harmless, to the extent permitted by law, ELITE NATION, its officers, officials, agents and/or employees, its sponsors, and other participants and their families with respect to any and all injury, disability, death, loss, or damages to person or property

I have read this release of liability and assumption of risk agreement, fully understand its terms and sign it freely and voluntarily without any inducement.
Parent/ Guardian Signature ________________________ Date ____________ Print Name ____________________

I/we agree with the above *

* indicates required fields