2019 Fall Skills Clinic (ages 6-10)

PLAYER INFORMATION



PARENT/GUARDIAN #1


PARENT/GUARDIAN #2


MEDICAL/EMERGENCY CONTACT INFORMATION


PHOTO RELEASE AUTHORIZATION
CITY OF FERNANDINA BEACH / FERNANDINA BEACH BABE RUTH LEAGUE, INC.

I give permission to the Fernandina Beach Babe Ruth League, Inc. to take and publish photographs, digital images and/or videotaped images of me or my minor child for news, advertising and/or promotional purposes in print and electronic media. I understand that neither I nor my child will be compensated for any photograph or other images which may be used in this capacity. On behalf of myself and/or my minor child, I agree that neither the City of Fernandina Beach, nor its officers, employees, elected and appointed officials, or agents, or the Fernandina Beach Babe Ruth League, Inc., nor its officers, employees, elected and appointed officials, or agents, shall be liable for any claims, demands, actions, or causes of action of any sort whatsoever resulting from the publication of these photographs or other images. On behalf of myself and/or my minor child, I do hereby forever release and discharge the City of Fernandina Beach, its officers, employees, elected and appointed officials, and agents, the Fernandina Beach Babe Ruth League, Inc., its officers, employees, elected and appointed officials, and agents, from all such claims, demands, actions, or causes of action.

On behalf of myself and/or my minor child, I agree that I have read and understand this photo release.


I/We, the parents of the above named player hereby give my/our consent and approval for his/her participation. I/We assume all responsibilities incidential; to the conduct and activities and transportation to and from activities. I/We do further hereby release, absolve, indeminfy and hold harmless the Fernandina Beach Babe Ruth League, Inc., the organizers, sponsors, and supervisors and will waive all claims against them in the event of injury to my/our child. I/We likewise release from responsibility any person transporting my/our child to and from activities. In addition, in the event my/our child is in need of medical attention. I/We do hereby authorize and consent to the rendering of any all necessary medical care in accordance with acceptance standards of medical care for my/our child.
 

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