2019 Fall Season Registration Event Start: 2019-09-07 Ticket Price: $40 Participant Information Previous Paticipant? First Name Last Name Date of Birth Gender Select a gender Male Female Height Weight School Hat Size Select a hat size Youth Adult Shirt Size Select a shirt size Youth Small Youth Medium Youth Large Adult Small Adult Medium Adult Large Adult XL Other Disability Parent/Gaurdian First Name Last Name Email Home/Main Number Work Number Cell Number Address City State Zip Please list the use of adaptive equipment Are there any other instructions or information you think is important to know? Comments or concerns? Are there any special requests you have (i.e. specific team, coach, buddy, or other player)? ** Please note that not all requests will be honored due to availability ** Participant Photo Release Waiver and Relase of Liability I request that my child be allowed to participate in the Miracle League, and agree to the following: I acknowledge and fully understand that my child as a minor participant will be engaging in activities that may involve risk of serious injury, including permanent disability and death. I am aware of the many dangers and inherent risks in the sport of baseball including without limitation: risks of collision with objects and or, falling. I also acknowledge that there may be other risks not known to me or not reasonably foreseeable at this time. I assume all the foregoing risks and accept personal responsibility for the damages following such injury, permanent disability or death. Myself and my family release, waive, discharge and promise not to sue Miracle League or Society for disABILITIES, its’ volunteer instructors and director, its staff, executive director, board of directors, property owners, volunteers, or other participants of Miracle League for any personal injury, property damage, or other damages that may arise from my participation in Miracle League, regardless of whether such injury or damage is caused by negligence or carelessness of the Miracle League Program. I agree that photographs of me or child, and/or my name, my child’s name may be published in, or used by Miracle League, Society for disABILITIES and any of the media or mass communication (including newspapers, magazines, television, pamphlets, brochures, newsletters, reports, social media, etc.) without any liability on the part of Miracle League or Society for disABILITIES. I have talked to my physician, who has acknowledged, that my child is physically capable to engage in the sport of baseball. I have given an accurate description of my child’s disability and medical needs on the Miracle League participant application. I agree that the staff and volunteers of the Miracle League and Society for disABILITIES may authorize emergency medical treatment for me, or for my child, up to and including emergency hospitalization and surgery. I give the Miracle League, Society for disABILITIES and volunteers’ the right to determine the appropriate medical facility/provider in the absence of a parent or caregiver. I agree to be personally responsible for any related medical expenses. Download a copy of the waiver. I have read and agree to the Participant Photo Release Waiver and Release of Liability?