The Launch Pad Hitting Center

Subscribe to our Newsletter

Liability Waiver 2014

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 #:

In consideration of The Launch Pad Hitting Center, INC., a Illinois corporation company furnishing services, facilities and/or equipment to enable me to participate in indoor baseball and softball training activities (collectively, the “Activities”), I agree as follows:

I fully understand and acknowledge that: (a) risks and dangers exist in my use of indoor baseball and softball training facilities and equipment and my participation in the Activities; (b) my participation in the Activities and/or use of such facilities and equipment may result in my injury or illness including but not limited to bodily injury, disease, strains, fractures, partial and/or total paralysis, eye injury, blindness, heat stroke, heart attack, other ailments that could cause serious disability or death; (c) these risks and dangers may be caused by the negligent acts or omissions of the owners, employees, officers, members, managers or agents of The Launch Pad Hitting Center, INC., the negligent acts or omissions of participants, the negligent acts or omissions of others, reckless acts, intentional acts, accidents, breaches of contract, forces of nature or other causes. These risks and dangers may arise from foreseeable or unforeseeable causes; and (d) by my participation in the Activities and/or use of the facilities and/or equipment, I hereby assume all risks and dangers and all responsibility for any losses and/or damages, whether caused in whole or in part by the negligence or other conduct of the owners, agents, officers, members, managers, employees of The Launch Pad Hitting Center, INC., or any other person, including without limitation, unintentional and intentional acts.

I, on behalf of myself, my personal representatives and my heirs, hereby voluntarily agree to and hereby effectively do release, waive, discharge, hold harmless, defend and indemnify The Launch Pad Hitting Center, INC. and its owners, agents, officers and employees from any and all claims, actions or losses for bodily injury, property damage, wrongful death, loss of services or otherwise which may arise out of my use of indoor baseball and softball training
equipment or my participation in the Activities. I specifically understand that I am releasing, discharging and waiving any claim or actions that I may
have presently or in the future for the acts or other conduct by the owners, agents, officers or employees of The Launch Pad Hitting Center, INC.

I HAVE READ THE ABOVE WAIVER AND RELEASE AND BY SIGNING IT AGREE IT IS MY INTENTION TO EXONERATE AND RELIEVE THC FROM LIABILITY FOR PERSONAL INJURY, PROPERTY DAMAGE OR WRONGFUL DEATH CAUSED BY NEGLIGENCE OR ANY OTHER ACT OR OMISSION.

I/we agree with the above *

* Electronic Signature:

* indicates required fields

OUR SERVICES

LOCAL SPORTS

ELITE

Liability Waiver 2014