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Illinois Patriots 2023-2024 Tryout Registration
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Email *
Player First Name *
Player Last Name *
Parent/Guardian First Name *
Parent/Guardian Last Name *
Second Parent/Guardian First Name
Second Parent/Guardian First Name
Email Address *
Additional Email Address
Phone Number *
Secondary Phone Number
City *
School for 2023-2024 *
Birthday *
Age Group Trying Out For (select age group for next year, not what you played this year) *
Primary Position *
Secondary Position *
Team or Teams Played For Last Two Seasons *
Tryout date you plan to attend:
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Additional Notes or Comments 
Illinois Patriots - Agreement to Participate With Waiver and Release Liability Disclaimer: Illinois Patriots Baseball is not responsible for any injury (or loss of property) suffered by any person while playing, practicing, or engaging in any activity whatsoever at Southern View Park in Springfield, IL. This includes the acts or omissions of Illinois Patriots, its agents, employees, sponsors, volunteers, owners, lessor of the premises and all others that are involved.In consideration of my being allowed to participate in the Illinois Patriots baseball program, and related events and activities, I hereby release and covenant not to sue Illinois Patriots Baseball, its affiliates or any of its or their respective officers, directors, representatives, employees, sponsors, volunteers, lessors, instructors or agents for any and all present or future claims resulting from the acts or omissions of Illinois Patriots Baseball or others listed for property damage, personal injury or wrongful death, arising as a result of my engaging in or receiving instruction in the Illinois Patriots Baseball programs and activities incidental thereto, wherever, whenever or however the same may occur. I hereby voluntarily waive any and all claims that may be made by me, my family, estate, heirs, agents, representatives, or assigns resulting from the acts or omissions of Illinois Patriots Baseball, both present and future.I am aware that baseball is a vigorous team sport that at times involves severe cardiovascular stress and violent physical contact. I understand that baseball involves certain risks, including but not limited to death, serious neck and spinal injuries resulting in complete or partial paralysis, brain damage, injury to virtually all bones, joints, muscles and internal organs, and that equipment provided for my protection may be inadequate to prevent serious injury. I further understand that baseball involves a particularly high risk of ankle and knee injury. I understand that my participation at Illinois Patriots Baseball involves activities incidental thereto; including but not limited to travel to and from site, off site travel to other events and activities not affiliated with Illinois Patriots Baseball. Participation at these other events and activities may be at sites that are remote from available medical assistance and there may be risk from the conduct of other participants. I am voluntarily participating in these activities with full knowledge of the possible dangers involved and hereby agree to accept any and all inherent risks of property damage, personal injury or death. I understand that this waiver is intended to be as broad and inclusive as permitted by the laws of the State of Illinois and agree that if any portion is held invalid, the remainder of the waiver will continue in full force and effect. I further agree that the venue for any legal proceeding shall be in the courts of the State of Illinois and that the laws that will apply will be the laws of the State of Illinois.I affirm that I have read and fully understand the content of the attached Illinois Patriots Baseball. Agreement to Participate with Waiver and Release of Liability and am freely signing this agreement, and that I am giving up my legal rights and/or remedies which may be available to me for the acts or omissions of Illinois Patriots Baseball or any of the parties listed above. For parents/guardians of participants of minority age (Under 18 years old at the time of this registration)This is to certify that I, as parent/guardian with legal responsibility for this Participant, have indeed read the Agreement to Participate With Waiver and Release Liability and I agree, for myself, my heirs, assigns and next of kin, to release and hold harmless and waive subjugation to Illinois Patriots Baseball and all others from any and all liabilities incident to my minor child’s involvement or participation in these outlined activities or programs as provided above, even if arising from the acts or omissions of Illinois Patriots Baseball, to the fullest extent permitted by law. I further agree to instruct my minor child to comply with the stated and customary terms and conditions for participation in the program or activity itself. If they are behaving in such a way that is not in compliance with the terms and conditions for participation in the program or activity, I will remove my child from participation and bring such to the attention of the nearest Illinois Patriots Baseball official immediately. *
A copy of your responses will be emailed to the address you provided.
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