*Player Status New League Member Returning League Member

*GASPL Division GASPL Men's GASPL Co-Ed Both

*Male/Female Male Female

*First Name

*Last Name

*Date Of Birth

*Email Address

*Primary Phone #

Alternate Phone #

*City/Town

*Address

*Postal Code

*Do You Have A Medical Condition The League Executive Should Be Aware Of? No Yes

If Yes, Please Specify (Example: Heart Condition, Pregnancy, Epilepsy, Diabetes)

*Emergency Contact

*Emergency Phone #

*I hereby agree to notify the League Executive of any changes in my medical condition. I am aware that there are certain inherent risks, dangers and hazards associated with engaging in physical activities that can result in serious personal injury or disability. As such I hereby freely agree to assume and accept any and all known and unknown risks of injury, damages or losses associated with my participation in the Glen Abbey Slo-Pitch League. In consideration of being allowed to participate in the Glen Abbey Slo-Pitch League, I hereby agree, to the fullest extent permitted by law, to waive al claims that I have or may have against the Glen Abbey Slo-Pitch League, its members, managers, agents, coaches, and volunteers arising out of my participation in the League and to release the Glen Abbey Slo-Pitch League, its members, managers, agents, coaches and volunteers from all liability for any loss, damage, injury or expense that I may suffer, arising out of my participation in the League or League functions, from any cause whatsoever. I HAVE READ AND UNDERSTAND THIS AGREEMENT AND LEAGUE POLICIES AND AM AWARE THAT BY SIGNING THIS AGREEMENT I AM WAIVING CERTAIN LEGAL RIGHTS INCLUDING THE RIGHT TO SUE. Yes No

*Signature

*Date

Additional Comments

*Required