Autumn Baseball League

Registration form

CAPE RIPTIDE TRAVEL TEAM
Dr. Laura Bomback Chiropractic
NUTRITION AND HEALTH
10U Teams
11U(46/60)
11U(50/70)
12U(60/90)
13U Teams
14U Teams
16U Teams
19U Teams
TEAM MIZUNO USA BASEBALL CLUB
MED. RELEASE FORM
Parent Waiver
Registration form

2017 Autumn Baseball League Volunteer Team


File separate registrations for each team and please print legibly.     

 

Read, sign and date ALL PAGES and return with registration fee of $285 payable to: 

AUTUMN BASEBALL LEAGUE


Submit fee and this entire registration form by MAIL

 to the ABL Headquarters




All teams must have a first aid kit at games.

 

 

MAIL OR DROP OFF to Herman Bomback/ABL, 293 Linden St., Fall River, MA   02720.  The deadline for registration is Sunday, August 27, 2017. 

 

 

 

____________________________________________­­­­­­­­­­­­______________________

Name of team 

 

Circle your Division:  If you are entering more than one team, you must file separate registrations and waivers.

 

8U, 9U, 10U, 11U (46/60), 11U (50/70), 12U (60/90),

 

13U14U, 16U, 17U, 19U & OVER 20

 

 

 www.AutumnBaseballLeague@live.com  

send a hard copy of registration, waivers and league fee of $285 to the address below: 

    

     Send registration, waiver and league fee to:

          Herman Bomback c/o ABL

        293 Linden St.

        Fall River, MA   02720

 

 

Keep your roster updated with the ABL by sending in changes promptly.  Email your rosters and updates to:  www.AutumnBaseballLeague@live.com

*** You can only lock in a player to your roster if the player has actually entered a game otherwise the player is a free agent. 

 

 

__________________________________________________________________

Name of Home Field

 

 

_________________________________________________________________________________

Street

 

 

_____________________________________________________________________________________________

City, State

 

 

 ______________________________________________________________________________________

____________________________________________


Team Manager:  ______________________________________________

 

Cell Number______-______-____________

 

___________________________________________________

Email Adress

 

 

Team Coach:  ________________________________________________

 

Cell:  _______=_______ _________________

 

email address:  ____________________________________________________

 

Add other coaches on back of this page.

 

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.

8)       Team leaders are responsible for screening all team’s managers, coaches and associates using CORI. By signing this form, I declare that I have thoroughly read and completely understand this registration and all associated waiver forms.

 

X________________________________________________________________

Signature of  Responsible Team Leader/Manager:                                                                       Date:

 

<<<<<<<<<<<<<<<>>>>>>>>>>>>>>>

 

ABL DISCALIMER:

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's 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.

     I understand and acknowledge that the very nature of baseball has hazards that can cause serious injury and/or death. I assume all risks of injury and damage incident to my participation in ABL.

     In consideration of the privilege to participate in the ABL program, hereby release, discharge, relinquish, agree not to take legal action against,hold harmless, and indemnify The Autumn Baseball League, its officers, agents, representatives, employees and officials, ABL sponsors, supervisors, participants, players, agents, coaches, managers and persons transporting me to and from ABL activities, from any claims, demand, actions, and cause of action of any sort, arising out of my participation in the ABL program, including, but not limited to, any injury or death sustained in connection with my participation in the ABL program, including but not limited to travel to and from program related activities, whether the result of negligence or for any other cause.

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.

     I understand and acknowledge that the very nature of baseball has hazards that can cause serious injury and/or death. I assume all risks of injury and damage incident to my participation in ABL.

     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.

     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 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.

     In consideration of my child’s participation in the activities with his/her team and Autumn Baseball League, I hereby declare him/her medically able to participate in the activities of the Autumn Baseball League.   I understand that there are risks and agree to familiarize myself with all equipment, facilities, rules and physical demands related to the activities of the program. On behalf of myself, my heirs, executors and administrators, I agree to release and discharge his/her team, the Autumn Baseball League, its officers, managers, coaches and sponsors of, and from any and all liability for injury to my child or guardian resulting from, or in any way connected with his or her participation in any of the activities his baseball team and the Autumn Baseball League. 

I HAVE READ THE ABOVE DISCLOSURE STATEMENT, 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.

     CORI AND MANAGEMENT CHECK: ALL TEAMS ARE RESPONSIBLE FOR THEIR INTERNAL ISSUES. THE LEAGUE (ABL) IS NOT LIABLE OR RESPONSIBLE FOR ANY PERSONNEL OR TEAM PROBLEMS, ISSUES, LITIGATION OR UNMENTIONED SITUATIONS or for THOSE WHO HAVE NOT TAKEN OR CANNOT PASS A CORI TEST. TEAM LEADERS AND MANAGERS MUST SCREEN, CORI AND APPROVE ALL MANAGERS, COACHES AND PERSONNEL ASSOCIATED WITH THE TEAM. THIS IS NOT THE AUTUMN BASEBALL LEAGUE'S RESPONSIBILTY AND THE ABL SHALL NOT BE LIABLE.   

      By playing in this league and have read these bylaws as required, all team personel, parents, players, et al, agree on the above and have read and signed the Parents' Waiver, the ABL Registration & Waiver and the Medical Release Form and relieves the Autum Baseball League and it's personnel including Herman Bomback from all liability and further more agree that the team(s) you have entered in this league is/are independent and not associated with the ABL.

 

 

COACHES ARE REQUIRED TO TAKE THE "CONCUSSION IN SPORTS" ONLINE FREE COURSE.  GO TO http://nfhslearn.com/courses/61037 TO TAKE THE COURSE.

 

 

I HAVE TAKEN THE FREE CONCUSSION IN SPORTS COURSE,  READ THE ABOVE AND UNDERSTAND ITS CONTENTS.

 

 

Print Responsible Team Leader (Manager):                                         Signature Responsible Team Leader (Manager):

 

_________________________________________________            X ________________________________________________

By signing this registration/waiver, I confirm to have given and received signed ABL Parental Waivers from all players' mothers and/or fathers, custodial parents or guardian.

 

 

Date: _________________________

 

 

COACHES ARE REQUIRED TO TAKE THE "CONCUSSION IN SPORTS" ONLINE FREE COURSE. GO TO http://nfhslearn.com/courses/61037 TO TAKE THE COURSE.