Raiders 2009
Player's Full Name: *
Phone Number: *
Player's Birth Date: *
Player's Address: *
Father's Name: *
Mother's Name: *
Emergency Contact Name: *
Emergency Contact Number: *
Highschool Name: *
Current Grade: *
Graduation Date: *
Player Height: *
Player Weight: *
Throws: *
Bats: *
Email Address: *
MEDICAL AUTHORIZATION I, parent or guardian of the above named player, hereby give approval to his participation in any and all activitites during the current season. I assume all risks and hazards incidental to such participation including transportation to and from the activities; and do hereby waive, absolve, indemnify and agree to hold harmless the local league association, Houston Raiders Baseball, the organizers, sponsors, supervisors, participants, and persons transporting the participant to and from activities, for any claim arising out of and injury to the participant, except to the extent and in the amount covered by accident and/or liability insurance held by Houston Raiders Baseball. I also grant permission to managing personnel or other association representatives to authorize and obtain medical care from any licensed physician, hospital, medical clinic, or emergency medical staff, should the participant become ill or injued while participating in activities away form home, or at other times when neither parent or guardian is available to grant permission for emergency treatment.
Parent or Guardian Digital Signature: *
