Challenger Buddy Form – Gordon Head Baseball

^*First Name
^*Last Name
Cell Phone Number:
Home Phone Number:
^*Email
^*Buddy Shirt Size
^*Consent and Waiver
I/We, the parent(s)/guardian(s) of the above named minor (the Minor), in consideration of the acceptance of the Minor for a position on a Gordon Head Lambrick Park Baseball Association (GHLPBA) team, hereby agree to uphold and abide by the constitution, by-laws, policies and procedures of the GHLPBA and give my/our approval for the Minor to participate in baseball and in ANY AND all related GHLPBA activities. I/We assume all risks and hazards incidental to such participation including transportation to and from activities and I/we do hereby waive, release, absolve, indemnify and agree to hold harmless the GHLPBA, the Greater Victoria Baseball Association (GVBA), B.C. Baseball Association (BCBA), Canadian Federation of Amateur Baseball (CFAB), and the organizers, sponsors, supervisors, coaches, umpires and all other persons participating in GHLPBA activities, including those persons transporting the Minor to and from activities, for, from and against any claim arising out of any injury to the Minor, whether the result of negligence or for any other cause, except to the extent and in the amount covered by accident or liability insurance. Further if the Minor shall happen to be injured during a GHLPBA activity, or in the process of traveling to or from such activity, I hereby give permission for the Minor to be administered any emergency medical treatment as shall be required and hereby give my permission to have such emergency medical treatment administered at the scene, at a doctor's office, or at a hospital if such becomes necessary. I/We will furnish a certified birth certificate of the above named player to the GHLPBA, GVBA, BCMBA or CFAB, should it be required. I/We agree to allow GHLPBA to collect, use and publicly disclose my child's name, voice and/or image for purposes related to the programs and activities of the GHLPBA. I/We agree to receive emails from the GHLPBA news and updates regarding the programs and activities of the GHLPBA. I/We agree to receive emails from sponsors containing news and updates related to the sponsorship of our organization, discounts, and product promotions. I understand that I can withdraw my consent to receive promotional emails at any time. Should you have any questions regarding the waiver please contact the President of GHLPBA