Fall Softball Roster/Waiv

Buffalo Grove Park District Waiver and Release of All Claims:

Please read this form carefully and be aware that in registering yourself or your minor child/ward for participation in Buffalo Grove Park District programs, you will be waiving and releasing all claims for injuries you or your child/ward might sustain arising out of said programs. I recognize and acknowledge that there are certain risks of physical injury to participants in the program(s) for which I have registered and I agree to assume the full risk of any such injuries, damages or loss, regardless of severity, which I or my child/ward may sustain as a result of participating in any activities connected or associated with any such program(s). I waive and relinquish all claims I or my child/ward may have against the Park District and its officers, agents, servants and employees as a result of participation in any of these program(s). I hereby fully release and discharge the Park District and its officers, agents, servants and employees from any and all claims from injuries, damage or loss which I or my child/ward may have or which may accrue to me or my child/ward on account of my participation or the participation of my child/ward in any of these program(s). I further agree to indemnify and hold harmless and defend the Park District and its officers, agents, servants and employees from any and all claims resulting from injuries, damages and losses sustained by me or by my child/ward, and arising out, connected with, or in any way associated with the activities of any of the program(s).

Photo Disclaimer: Registrants and participants of programs and special events permits the Park District to take photos and videos of themselves and their child/ward for publication in the program brochure, website, social media and additional uses as the Park District deems necessary unless the registrant or participant expressively files with the Park District a written objection as to photos or videos of themselves and/or their child/ward.

I have read and fully understand these above program details and waiver and release of all claims. By checking the box below, I confirm that I have read and agree to follow the rules set by the Buffalo Grove Park District including the League Discipline and Suspension rules.

First Name
Last Name
Address
Town
Zip Code
Email
Cell Phone Number
Format: ###-###-####
Team 1 Name
Team 1 League Night
select
Team 2 Name
Fill this in if you play on two nights
Team 2 League Night
select
Fill this in if you play on a second team on another night.
Waiver
I/we agree with the information above.
Verification

Required Fields