2009 Autumn Baseball League Volunteer Team

Application & Registration           page 1 of 2

SIGNATURE REQUIRED ON PAGES 1 and  2.

Please read the following, sign and date pages 1 and 2 and return with entrance fee *

to Herman Bomback, 293 Linden St., Fall River, MA   02720

before the deadline September 1st, 2009.

2009 Season Registration form: (Please Print)

Name of Team____________________________________________­­­­­­­­­­­­___

Age Group (circle):  U10  U12  U14  U16  U18

­­­­­­­­­Home Field and Location_________________________________________________________________________

Team Manager_______________________________________

Address_______________________________________________________________________________________

Tel. Number______-______-____________

* Email Address___________________________________________

Team Coach_________________________________________

Address_______________________________________________________________________________________

Tel. Number_____-_____ -_______________

* Email Address__________________________________________

Team Coach__________________________________________

Address_______________________________________________________________________________________

Tel. Number_____-_____ -_______________

* Email Address__________________________________________

If you have more than one team, please use another form.

Age groups:         

                   Junior (U10):  if player is 11 on or after April 1^st, 2009 he/she’s eligible.

                   Senior (U12):  if player is 13 on or after April 1^st, 2009 he/she’s eligible.

                   Minor (U14):  if player is 15 on or after April 1^st, 2009 he/she’s eligible.

                   Major (U16):  if player is 17 on or after April 1^st, 2009 he/she’s eligible.

     High School Division (U18):  if player is 19 on or after April 1^st, 2009 he/she’s eligible.

Deadline for registration  is September 1st, 2009.   

* Entrance fee is $285 per team and required to be paid to the League on or before the deadline date.   

If paid before August 20^th, then “early bird” fee is:  $250

Registration closes September 2^nd, 2009.  Make check payable to: 

Herman Bomback or Autumn Baseball League

 Mail to:  293 Linden St., Fall River, MA   02720

DISCLOSURE STATEMENT                                                         

Autumn Baseball League (ABL)

I have read and understand that I may be disqualified and prohibited from serving as a volunteer under auspices of the Autumn Baseball League (ABL) if, among other things, I have:

1)       Been convicted (including crimes of record which have been expunged and pleas of “no contest”) of a crime of child abuse, sexual abuse of a minor, physical abuse, causing a child’s death, neglect of a child, murder, manslaughter, felony assault or any assault against a minor, kidnapping, arson criminal sexual conduct, prostitution related crimes, controlled substance crimes, or any other felony;

2)       Been adjudged liable for civil penalties or damaged involving sexual, physical or verbal abuse of children;

3)       Been subject to any court order involving any sexual, physical or verbal abuse of a minor, including, but not limited to, a domestic protection order;

4)       Had parental rights terminated;

5)       A history with another organization (volunteer, employment, etc.) of complaints of sexual, physical or verbal abuse of minors;

6)       Resigned, been terminated or been asked to resign from a position, whether paid or unpaid, due to a complaint(s) of sexual, physical or verbal abuse of minors;

7)       A history of behavior that indicated I may be of danger to children in the ABL program.

8)       Team managers are responsible for screening all of team’s coaches and associates.

Signature of

Manager:______________________________________Date:_______________________

2 of 2

ABL DISCALIMER 2009:

Do any of the above statements apply to you?  Yes________     No________

If you check “Yes” to any disclosure item(s), please circle the number(s) and attach an explanation on a separate page.

WAIVER, CONSENT AND RELEASE OF LIABILITY:

I hereby consent to the investigation and verification of all information given in this application, including searches of law enforcement and public records (including driving records and criminal background checks).  I hereby release and agree to hold harmless the ABL and it officers, employees and volunteers, and any person or organization that provides information for or to the ABL, concerning the use of or any attempt to verify the information provided in this application.  I declare that all of information given by me in this application is true and complete to the best of my knowledge, and I understand that any misrepresentation or omission may be caused for suspension or dismissal from my volunteer status with my team and the ABL.

If accepted as an ABL volunteer, I hereby agree to abide by the ABL bylaws, rules, regulations, policies and philosophies, and all decisions and directions of the Board of Directors and understand that I may be removed as an ABL volunteer at any time with or without cause.   Because the team I represent is independent, the team’s organization shall be well informed of any improprieties and provided with any or all such evidence used against me.  Any volunteer subject to removal shall have an opportunity to present his/her case before the ABL’s Board of Directors as well as the independent’s own governing body.

DISCLAIMER, ASSUMPTION OF RISK AND WAIVER:  For myself and on behalf of my heirs, assigns and next of kin, I acknowledge that participation in the sport involves travel, participation on adverse field conditions, contact with considerable force and risk of severe, permanent injury including bruises, scrapes, strained, sprained or torn muscles, tendon or ligament, broken bone, dislocation of joint, concussion, brain damage, nerve and spinal cord injury, paralysis and death.  For myself, and on behalf of my heirs, assigns and next of kin, I willingly and voluntarily accept and assume all such risks of participation.  My independent team, myself or a combination of both, shall exclusively be responsible for any and all liability.  The ABL shall share no responsibility. 

I further acknowledge that the “ABL” is primarily administered by volunteers rather than paid professionals.

In consideration of accepting the registration and permitting my voluntary participation in its programs for myself and on behalf of my heirs, assigns and next of kin, I hereby release, discharge and agree to hold harmless the ABL, its employees, volunteers, officials, sponsors and other representatives and any and all owners, lessors, lessees or other persons or entities allowing, permitting or authorizing the use of facilities by the ABL and the agents, employees, officers and directors of said persons or entities from any and all claims, demands, costs, expenses and compensation arising out of or  in any way related to any injury or other damage that may result to me or member of my family or my household or individuals I invite for whom I am otherwise responsible while participating in or present at any ABL sponsored event, including any physical or other injury caused by the negligence of any person or entity described above.

All teams are independent and all persons entering the ball park (including fans and spectators) will assume all risk and danger incidental to the game of baseball whether occurring prior to, during or subsequent to the actual playing of the game, including specifically (but not exclusively) the danger of being injured by thrown bats and thrown or batted balls.  The players and fans agree the participating team’s players and team officials are not liable for injuries resulting from such causes.

Finally, all players, fans and I release, discharge and agree not to take legal action against the Autumn Baseball League or owner on which baseball is/was practiced or played by my team.  I further agree that I shall hold harmless and fully indemnify the Autumn Baseball League, it’s officers and family members, employees, agents, or anyone connected to the League’s staff.    For liability coverage and medical coverage, I understand that I’m am responsible for acquiring the insurance policies myself and the Autumn Baseball is not in any way responsible for the above.

I will convey the information above to all players, player’s parents, fans, and sponsors and all involved with my independent team and shall have all players’ parents acknowledge and sign a liability acknowledgement form.

I HAVE READ THE ABOVE DISCLOSURE STATE, WAIVER, CONSENT AND RELEASE OF LIABILITY, DISCLAIMER, ASSUMPTION OF RISK AND WAIVER, AND ACKNOWLEDGE AND CONSENT AGREEMENTS, FULLY UNDERSTAND THE TERMS OF EACH, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHT BY MY SIGNING THIS FORM AND AGREEING TO THESE TERMS, AND I SIGN THIS FORM AND AGREE TO THESE TERMS FREELY AND VOLUNTARILY AND WITHOUT INDUCEMENT OF ANY KIND.

Signature of Manager:  ______________________________________

Date: _________________________