Due to our insurance policy,

please read the entire waiver policy and sign below.

"I do hereby release, discharge, indemnify and hold harmless Clarkstown South Baseball, and its owners, directors and employees, and waive any and all claims or liabilities for any injuries, losses or damages, including without limitations, injuries to my son/daughter and/or property, arising out of or incident to my child's participation in Clarkstown South Baseball Clinics/Training."

Player’s Name:  _____________________________________

                                                        [Please Print]

Parent / Guardian Name: _____________________________

                                                                        [Please Print]

Parent / Guardian

Signature: _________________________  Date:  ___________

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Please list any health concerns:  (allergies, asthma, etc.):

_____________________________________________________

_______________________________________________________________________________

Please bring this form to the next baseball clinic.