Players Full Name (As Seen on Birth Certificate):*

Parent or Guardian's Full Name*

Email*

Adresss*

List Player Disability*

Additional limitations and/or information that will help the coaches and/or buddies:*

I/We, the parents or guardians of the above-named Challenger Baseball player, hereby give my/our approval to participate in any and all Challenger Baseball/Little League activities. I/We know that participation in baseball may result in serious injuries and protective equipment does not prevent all injuries to players, and do hereby waive, release, absolve, indemnify and agree to hold harmless Challenger Baseball, the local Little League, Little League Baseball Incorporated, the organizers, sponsors, supervisors and participants for any claim arising out of any injury to my/our child whether the result of negligence or for any other cause, except to the extent and in the amount covered by accident or liability insurance.

I/We agree to return, upon request, any equipment issued to my/our child in as good a condition as when received except for normal wear and tear. *YesNo

I/We will furnish proof of residence and/or a certified birth certificate of the above-named candidate to League Officials if necessary.*YesNo

I/We give permission for the free use of the buddy’s name and/or picture in any newspaper, broadcast or telecast of Challenger games:

Signature (Full Name of Parent or Guardian)*

E-signatures are legally binding on almost all countries and states. For more information: https://www.docusign.com/learn/us-electronic-signature-laws-and-history