Merrimack Valley Senior Softball Association

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2024 Player Registration

PLAYER INFORMATION

* First Name:

* Last Name:

* Street Address:

* City:

* State:

* Zip Code:

* Phone # (cell # preferred):

* Email address:

* Date of Birth:

Note: you must be at least 48 years old by 12/31/24 to play in the MVSSA.

* Position (preferred):

I can also play:

MEDICAL/EMERGENCY CONTACT INFORMATION

* Emergency Contact:

* Phone:

* Relationship to Player:

If you are new to the MVSSA, who referred you?:

WAIVER INFORMATION

AMATEUR ATHLETIC WAIVER AND RELEASE OF LIABILITY

In consideration of being allowed to participate in any way in the MERRIMACK VALLEY SENIOR SOFTBALL ASSOCIATION (MVSSA) games, related events and activities, the undersigned:

- Agrees that prior to participating, he/she will inspect the facilities and equipment to be used, and if he/she believes anything is unsafe, he/she will immediately advise a representative of the MVSSA of such condition(s) and refuse to participate.

- Acknowledge and fully understand that each participant will be engaging in activities that involve risk of serious injury, including permanent disability and death, and severe social and economic losses which might result not only from their own actions, inactions or negligence of others, the rules of play, or the condition of the premises or of any equipment used; further, that there may be other risks not known to us or not reasonably foreseeable at this time.

- Assume all the foregoing risks and accept personal responsibility for the damages following such injury, permanent disability or death.

- Release, waive, discharge and covenant not to sue, the MVSSA or their officials, staff, players or sponsors, from demand, losses or damages on account of injury, including death or damage to property, caused or alleged to be caused in whole or in part by the negligence of the releases or otherwise.

- Shall defend, indemnify, and hold MVSSA, their officials, staff, players or sponsors harmless from and against any and all liability, loss, expense, including reasonable attorney fees, or claims for injury or damages arising out of the performance of this Agreement.

The undersigned have read and acknowledge that he/she is entering into the above waiver and release, understanding that they have given up substantial rights by signing it and sign it voluntarily.

WITHOUT LIMITING THE GENERALITY OF THE FOREGOING, IT IS MY INTENTION ON BEHALF OF MYSELF TO SPECIFICALLY RELEASE AND INDEMNIFY MVSSA FROM ANY AND ALL CLAIMS ARISING FROM THEIR OWN NEGLIGENCE. I AGREE TO INDEMNIFY, DEFEND AND HOLD HARMLESS MVSSA FROM ANY LIABILITIES, LOSSES, DAMAGES, SETTLEMENTS, CLAIMS , EXPENSES AND COSTS ARISING FROM MY PARTICIPATION IN THE DESCRIBED ACTIVITY, SAID INDEMNITY TO INCLUDE COURT COSTS AND REASONABLE ATTORNEY FEES.

I have read and agree to the terms and conditions as stated above. *

Checking the box above is, in effect, the same as signing this form.

* Registration date:

Payment of $150 can be mailed to Jack Gilhooly at 46 Summer St Methuen, MA 01844, or you can Venmo to @John-Gilhooly-2. Checks should be made out to MVSSA. Thank you.

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