Spring Klein Sports Association Baseball - Medical Consent / Liability Waiver

Spring Klein Sports Association Baseball - Medical Consent / Liability Waiver

SKSA Team Name:

Age Group:

PLEASE READ THE MEDICAL TREATMENT CONSENT AND LIABILITY WAIVER STATEMENTS BELOW AND SIGN WHERE APPROPRIATE.

Medical Treatment Consent:

As the parent/legal guardian of the named player below, I hereby give my consent for the reasonable and necessary emergency medical care prescribed by a duly

licensed medical provider. This care may be given under whatever conditions are necessary to preserve the life, limb or well being of the named player.

Liability Waiver:

I, the parent/guardian of the named player identified below, agree that, by my signature below, I and the named player will abide by the rules of the Spring Klein Sports

Association (hereafter "SKSA"), its affiliated organizations and related entities. Further, I recognize the possibility that physical injury and/or death may be a result from baseball activities.

Therefore, in consideration for SKSA accepting and permitting the named player below to participate in baseball programs and activities I HEREBY RELEASE, DISCHARGE, INDEMNIFY AND HOLD

HARMLESS SKSA, its affiliated organizations, related entities, sponsors, officers, directors, employees and associated personnel, including but not limited the owners of the fields and facilities

utilized by SKSA participants, from any injury, death, harm, damage or otherwise arising from, resulting from, and/or related to the named player's participation in baseball, including but not

limited to the transportation of the named player to and from SKSA activities (which transportation I hereby expressly authorize).

PARENT/LEGAL

PARENT/LEGAL

Player Name

Medical Conditions?

Emergency Contact & Phone Number

GUARDIAN NAME

GUARDIAN SIGNATURE

FF0000NOTE: This document of record must be signed by a parent or legal guardian for each player and a signed copy MUST be present at

Last Modified: 1/20/08