15U RM_StatsGender *Select an optionMaleFemaleOtherPlayer First Name *Player Last Name *Street Address *City *Postal Code *Primary Phone Number *Player Email *Player Birth Date *Player's Care Card Number *Please list any known Allergies, Medical Conditions or Medication being taken:Guardian #1 Name & Relation *Guardian #1 Phone Number *Guardian #1 Email *Guardian #2 Name & RelationGuardian #2 Phone NumberGuardian #2 EmailTop 3 PositionsWhat baseball organization were you registered with in Spring of 2022? *Select an optionCarnarvon Ball ClubGordon Head Baseball AssociationLayritz Intermediate Baseball AssociationPeninsula Baseball AssociationTriangle Athletic AssociationSeaWolvesOtherParent/Guardian Consent and Waiver *I have read and agreed to the below consent and waiverI/We, the parent(s)/guardian(s) of the above-named minor (the Minor), hereby agree to uphold and abide by the constitution, by-laws, policies and procedures of Greater Victoria Baseball Association (GVBA) and give my/our approval for the Minor to participate in baseball and in ANY AND all related GVBA 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 GVBA, B.C. Minor Baseball Association (BCMBA), Canadian Federation of Amateur Baseball (CFAB), and the organizers, sponsors, supervisors, coaches, umpires and all other persons participating in GVBA 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 GVBA 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 GVBA. I/We agree to allow GVBA to collect, use and publicly disclose my child's name, voice and/or image for purposes related to the programs and activities of GVBA. Should you have any questions regarding the waiver please contact the President of GVBA. Note: It looks like JavaScript is disabled in your browser. Some elements of this form may require JavaScript to work properly. If you have trouble submitting the form, try enabling JavaScript momentarily and resubmit. JavaScript settings are usually found in Browser Settings or Browser Developer menu.
