Miracle League 2018 Registration-Traditional Saturday League
Opening day for the Traditional Saturday League is scheduled for Saturday, May 5, 2018. Uniform Pick-Up day is Saturday, April 28th, The entry fee is $40.00 per athlete if received prior to 3/16/2018. Registration will be accepted after 3/16, but the cost will increase to $50.00 to cover the additional cost associated with a separate uniform order. Registrations received after 3/16 will not be guaranteed a uniform by Opening Day. If you cannot pay the fee, please check the appropriate box below, and the Miracle League will attempt to locate a sponsor to pay the entry fee on your player’s behalf. Should you need a hard copy form please visit http://ohiomiracleleague.org to download and print. If you have questions please contact ohiomiracleleague@gmail.com.
Player Last Name: *
Your answer
Player First Name: *
Your answer
Parent/Guardian Name: *
Your answer
Home Phone Number: *
Please answer in the following format: xxx-xxx-xxxx
Your answer
Cell Phone Number: *
Please answer in the following format: xxx-xxx-xxxx
Your answer
Would you like texts for updates and notifications? *
Email address: *
Your answer
Additional E-mail:
Your answer
Street Address: *
Your answer
City: *
Your answer
Zip Code: *
Your answer
Gender: *
Age: *
Your answer
Date of Birth: *
MM
/
DD
/
YYYY
Nickname: *
i.e. Slugger, Rocket, Grand Slam, Speedy
Your answer
Diagnosis/ Special Needs: *
Your answer
Are you a new athlete? *
If returning athlete, what team did you play on last year? *
If you are a new athlete, please check not yet assigned
Would you like your athlete to play on the same team as last year?
If you wish your athlete to play on the same team as another athlete, please list the name:
Your answer
Parent/Guardian, would you be interested in volunteering: *
Required
Player Shirt Size: *
Release of Liability and Para: I give authorization for my athlete to participate in the Miracle League of Central Ohio, and do nearby release any liability for injury that may occur while participating as an athlete or spectator during the season. The undersigned does hereby release and agree to indemnify and hold harmless The City of Dublin, Ohio and The Miracle League of Central Ohio, its officers, directors, volunteers, and other such individuals which may be assisting The Miracle League, from all manner of claims for damages and injuries of any kind and nature whatsoever arising out of accidents, occurrences, or conditions whether or not caused by the negligence of the releasees and/or indemnitees. *
Releases for use of Likeness: I hereby grant the Miracle League of Central Ohio, its affiliates, franchises, advertising and promotional agencies, and their agents, the irrevocable, unrestricted right to use, publish, display and distribute materials bearing my name, voice, likeness or any other identifiable representation of myself, my family members, including my Miracle League player/athlete. These materials may appear in any form, style, color or medium whatsoever (including, without limitation, photographs, video tapes, films, sound recordings, software, drawings, prints, broadcast, internet and electronic media.) I agree that all material containing any identifiable representation of me (including without limitation to all negatives, plates and masters of any photographs, files, prints or tapes) shall be and remain the sole and exclusive property of the Miracle League of Central Ohio. I hereby release and forever discharge the Miracle League of Central Ohio from any and all liability and damages relating to the use of my name, voice, likeness or any other identifiable representation of me. I hereby waive any right I may have to inspect or approve the finished materials or any part or element thereof that incorporates my name, voice, likeness or any other identifiable representation of myself, my family including my Miracle League player/athlete. I have agreed to the above consideration of the opportunity given to me by the Miracle League of Central Ohio to appear in these materials. I acknowledge that I have fully read and understand this document and that I have had any questions regarding its effect or the meaning of its terms answered to my satisfaction. I certify that I am at least 18 years of age, unless this document is also signed by my parent or legal guardian. *
Please check a payment option: *
Payment Type: *
Please make checks payable to: “Miracle League of Central Ohio” Mail payments to: P.O. Box 1303, Dublin, Ohio, 43017.
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