The Miracle League of Lake Placid

2010

Volunteer Registration Form

 

Name __________________________________________

 

Address _________________________________________

 

________________________________________________

 

Phone # _________________________________________

 

E-mail __________________________________________

 

I am interested in being:       ____ Coach       ____ Buddy 

                                              ____ Volunteer for special event

 

In consideration for The Miracle League of Lake Placid providing the opportunity for me to participate in Miracle League baseball, the undersigned does hereby release and agree to indemnify and hold harmless The Miracle League of Lake Placid, it’s staff, officers and directors from any and all claims for personal injury, death, property damage, or any type of claim or damage (including but not limited to attorney’s fees or litigation expenses) resulting from my activities in connection with participation in Miracle League baseball or the participation of any family member or guest. I assume all risks and hazards incidental to such participation in The Miracle League games and activities and consent to receive first aid and/or emergency medical care in the event of an injury.

 

I understand that there will be media and promotional coverage of The Miracle League of Lake Placid games and activities and I give consent to publish my name and picture for such purposes.

 

 

 

_________________________________________      ______________________________

Signature                                                                                                     Date Signed