Waiver

Holistic Baseball Waiver + County COC

PLAYER INFORMATION

* Indicates required field

Player Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

PARENT / GUARDIAN INFORMATION

Name *

First

Last

Name *

First

Last

Phone *

Email *

MEDICAL INFORMATION

Emergency Contact (other than parent / guardian) *

Medical Conditions / Allergies *

Relationship to Player *

Doctor's Name *

Phone *

Doctor's Phone *

RELEASE OF LIABILITY FOR MINOR PARTICIPANTS

I, the parent / guardian of the above-named player, hereby give my approval and consent for the above-named player to participate in any and all baseball and other athletic activities organized under the name "Holistic Baseball," also known as "San Diego Hawks Baseball" or "The Nest Baseball Academy" (hereafter "Holistic Baseball").

I know that participation in baseball and other athletic activities may result in serious injuries and/or illness, and protective equipment and measures do not prevent all injuries or illness to players, and do hereby waive, release, indemnify, and agree to hold harmless Holistic Baseball from any claim arising out of any injury or illness to my child whether the result of negligence or for any other cause. I assume all risks and hazards incidental to participation in Holistic Baseball.

I also herby authorize Holistic Baseball to use my child's photo and/or video related to my child's experiences with Holistic Baseball. I understand this information may be used on websites, social media posts, and promotional materials. I release Holistic Baseball from any an all liability which may arise from the use of such photos and/or videos.

I understand this release and waiver shall protect Holistic Baseball, its founder, managers, assistant managers, coaches, employees, contractors, team parents, team volunteers, affiliates, partners, sponsors, participants, owners and lessors of the premises used to conduct the events, and all other agents and volunteers of Holistic Baseball for any claim arising out of injury or illness to my child, whether the result of negligence or for any other cause.

Signature of Parent / Guardian *

First

Last

Acknowledgement of Signature *

By typing your name above, you agree that this constitutes your electronic signature and confirm your acceptance of the terms outlined above.

CONSENT FOR MEDICAL TREATMENT (MINOR)

In case of emergency, I, the parent / guardian of the above-named player, herby give my consent for emergency medical care by certified emergency personnel and / or as prescribed by a duly licensed physician or dentist.

Signature of Parent / Guardian *

First

Last

Acknowledgement of Signature *

By typing your name above, you agree that this constitutes your electronic signature and confirm your acceptance of the terms outlined above.

Childs Name / Age *

Parent / Guardian Signature *

First

Last

Acknowledgement of Signature *

By typing your name above, you agree that this constitutes your electronic signature and confirm your acceptance of the terms outlined above.

Date *

Submit

Holistic Baseball​Waiver + County Code of Conduct

Holistic Baseball Waiver + County COC

Holistic Baseball
Waiver + County Code of Conduct