East Bay Youth Athletics

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EBYA New Year Bash Baseball Tournament

Team Name

* Division:

* Manager Name:

Address:

City:

State:

Zip Code:

* Manager Contact #:

* Manager Email:

Insurance Carrier:

Policy #:

WAIVER INFORMATION
I assume all risks associated with above team playing in the EBYA New Year Bash and release Hillsborough County BOCC and EBYA of any responsibility or liability. I agree to submit above teams Certificate of Liability prior to play.

I/we agree with the above *

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IMPORTANT: Online Payment with credit cards is not active for this form

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EBYA New Year Bash Baseball Tournament