Player Insurance Waiver

All players and coaches participating in Dynasty Spartans travel baseball must complete the waiver form below to be eligible for participation. This waiver acknowledges the inherent risks of athletic activities and releases Dynasty Spartans, its coaches, staff, and affiliates from liability. We maintain a $2 million insurance policy to ensure coverage for our program. A copy of the policy is available on our website under the 501(c) status section. Please review and sign the waiver to confirm your understanding and agreement.

F5BLNJ025523: Dynasty Spartans

PLAYER WAIVER & RELEASE AGREEMENT

In consideration of my child participating in any way in the American Youth Sports Athletic Association, Inc related

events and activities, the undersigned acknowledges that the risk of injury to my child/ward from the activities

involved in these programs is significant, including the potential for permanent disability and death, and while

particular rules, equipment, and personal discipline may reduce this risk, the risk of serious injury will always exist.

Realizing that risks cannot be eliminated, I agree to the following:

I, FOR MYSELF, SPOUSE, AND CHILD, AND TO THE GREATEST EXTENT ALLOWED BY LAW,

KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS OF INJURY TO MY CHILD, both known and

unknown and, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES (as defined below) or

others (including fellow players), and assume full responsibility for my child's participation; and,

I willingly agree to comply with the program's stated and customary terms and conditions for participation. If I

observe any unusual significant concern in my child's readiness for participation in the Program or in the Program

itself, I will remove my child from participation and bring such to the attention of the nearest Program official

immediately; and,

I, for myself, my spouse, my child, and on behalf of my/our heirs, assigns, personal representatives and next of kin,

HEREBY RELEASE AND HOLD HARMLESS American Youth Sports Athletic Association its directors, officers,

officials, agents, employees, volunteers, other participants, sponsoring agencies, sponsors, advertisers, and if

applicable, owners and lessors of premises used to conduct the Program (referred to in this Agreement as

"Releasees"), WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, or loss or damage to person

or property arising out of or related to my child's involvement or participation in these Programs, WHETHER

ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, to the fullest extent permitted by

law.

I, for myself, my spouse, my child, and on behalf of my/our heirs, assigns, personal representatives and next of kin,

HEREBY AGREE TO INDEMNIFY AND HOLD HARMLESS all the above Releasees from any and all liabilities

arising out of or related incident to our involvement or participation in these Programs, EVEN IF ARISING FROM

THEIR NEGLIGENCE, to the fullest extent permitted by law.

I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY

UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY

SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT. I HAVE BEEN

ADVISED TO CONSULT AN ATTORNEY BEFORE SIGNING THIS AGREEMENT.

Player Name *enter player name

Players Date of Birth *

enter players date of birth

Parent or Guardian Name *Enter Parent or Guardian name

Parent or Guardian signature *

Today's Date

Checkbox *I agreeI have read, understand, and agree to the terms of the waiver. I acknowledge that by submitting this form, I am voluntarily accepting the terms and releasing liability as outlined in the waiver.

Player Insurance Waiver

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