2020 Travel Teams Winter Training

PLAYER INFORMATION

PARENT/GUARDIAN

WAIVER INFORMATION
Code of Conduct: As the parent/guardian of the child named above, who will be participating in the Westwood Baseball Association, I agree to follow, and be held to, the State of New Jersey Model Athletic Code of Conduct. The State of New Jersey Model Athletic Code of Conduct is available at nj.gov/lps/model_athletic_code.pdf

Permit, Waiver & Release: As the parent/guardian of the child named above, who will be participating in the 2019 Westwood Baseball Association Winter Training (hereinafter “WBA”), I hereby grant permission for my child to participate in any and all activities of the WBA during the upcoming Winter season. I assume all risks and hazards to my child incidental to the conduct of the WBA activities. I do further hereby release, absolve, indemnify, and hold harmless the WBA (including without limitation, its Executive Board, Trustees, Managers, Coaches, and others acting under its authority), the Westwood Board of Education and the Borough of Westwood from and against any and all claims arising in any way from my child’s participation in the activities of the WBA.

I hereby certify that my child has undergone a physical examination performed by a physician within the past year and has been cleared by said physician to participate in practices, games and related WBA activities. My child is in good health and able to participate in the WBA baseball program. All physical and/or medical conditions or limitations requiring mediation and/or treatment are listed under the player/parent information section of the registration forms above. Should my child become injured, ill or incapacitated while participating in the activities of the WBA, I grant the WBA and its Managers, Coaches and other authorized officials full authority to take whatever action is deemed necessary regarding my child’s health, safety and well-being, including arranging and/or providing emergency or other medical treatment.

I hereby certify and confirm that I have valid and current medical insurance coverage for any injury, medical condition, emergency, or other medical examination, testing or treatment that may arise as a result of my child’s participation in WBA activities. I further understand and acknowledge that any insurance coverage maintained by the WBA is secondary, supplemental and excess coverage to my own medical insurance coverage for my child, and that such secondary, supplemental, or excess coverage is subject to applicable exclusions, restrictions, limitations, deductibles, co-payments and other terms and conditions of such insurance policies, and may not cover all medical bills in full. I also specifically understand and agree that I am personally responsible to pay any and all medical bills or other out-of-pocket costs associated with any injury, medical condition, emergency or other medical treatment arising from my child’s participation in WBA activities. I hereby release and hold harmless the WBA and its Executive Board, Trustees, Managers, Coaches and other agents from any claims or liability for decisions or actions that may be taken on my child’s behalf (including, without limitation, transportation to a medical facility in my absence), for any emergency care rendered by authorized WBA officials, for any expenses incurred as a result thereof, and from any and all other claims or actions which may arise out of my child’s participation in WBA activities.

Photo/Video Release: I hereby grant permission for Westwood Baseball Association to use pictures of my son/daughter (named above) for the express purpose of promotion of Westwood Baseball Association programs and to post pictures/videos of my son/daughter, on the Westwood Baseball Association website.
 

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