18U Registration and General Release of Liability Form
Do not enter anything in this field. The number will be assigned when you arrive.
Enter expected graduation year of named participant - reference ages are listed in ( ).
Year that the named participant was born.
Email used for correspondence regarding the named participant and Georgia Impact Coach or College Coach Inquiries. - NOTE - Guardian email will be requested prior to signature for participants under 18.
Cell phone number to use for correspondence regarding the named participant and Georgia Impact Coach or College Coach Inquiries
Alternate Cell phone number to use for correspondence regarding the named participant and Georgia Impact Coach or College Coach Inquiries
Address the named participant will reside during travel ball seasons: fall, spring, and summer.
Name of High School named player is attending or will attend if below High School Age.
Current travel team the named player is on or was on recently. - Optional -
Choose Position or Role the named Participant is applying for with Georgia Impact.
Choose Position or Role the named Participant is applying for with Georgia Impact.
Mark whether the named participant throws left handed or right handed
Mark if the named participant bats "left", "right", check both if they bat both sides.
Mark if named participant is a slapper. - Optional
PARTICIPANT WAIVER I agree to hold harmless and defend Cherokee County against any and all
claims for damages, compensation, or otherwise on the part of me, my child(ren) or any other party for
whom I am responsible, growing out of or resulting from injury to me, my child(ren) or any other party
for whom I am responsible while participating in this event, and to reimburse or make good any loss or
damage or costs that Cherokee County may have to pay if litigation arises from injury to me, my
child(ren) or any other party for whom I am responsible, and I hereby waive any and all rights of
exemption, both as real or personal property, to which I may be entitled under the laws of this or any
other state as against claims for reimbursement or indemnity by Cherokee County.
PARTICIPANT WAIVER I agree to hold harmless and defend Georgia Impact and any of its staff, volunteers,
associates, representatives, subcontractors, agents or otherwise against any and all claims for damages, compensation, or otherwise on the part of me, my child(ren) or any other party for whom I am responsible, growing out of or resulting from injury to me, my child(ren) or any other party for whom I am responsible while participating in this event, and to reimburse or make good any loss or damage or costs that Georgia Impact and any of its staff, volunteers, associates, representatives, subcontractors, agents or otherwise may have to pay if litigation arises from injury to me, my child(ren) or any other party for whom I am responsible, and I hereby waive any and all rights of exemption, both as real or personal property, to which I may be entitled under the laws of this or any other state as against claims for reimbursement or indemnity by Georgia Impact and any of its staff, volunteers, associates, representatives, subcontractors, agents or otherwise.
As a participant in this event at Cherokee Recreation & Parks Agency (CRPA), I am fully aware of the risks and hazards connected with my participation in such sports (“Activity”, and hereby elect to voluntarily participate in the Activity, knowing that the Activity may be hazardous to me and my property. I voluntarily assume all responsibility for any risks of loss, property damage or personal injury; that may be sustained by me on any loss or damage of property owned by me, as a result of being engaged in the activity, whether caused by negligence of CRPA or its employees or agents or otherwise[ Hereby Release, Waive, Discharge and Covenant Not to sue CRPA, their officers, servants, agents, or employees( hereinafter “Releases”) from any and all liability, claims, demands, actions, and causes of actions whatsoever arising out of or caused by the Negligence of the Releases or otherwise, while participating in any activity of CRPA. It is my express intent that this release and Hold Harmless Agreement (hereinafter “Agreement”) shall bind the members of my family, if I am alive, and my heirs; assigns and personal representatives, if I am deceased, and shall be deemed as a Release, Waiver, Discharge and Covenant Not to Sue the above Releases. I hereby agree that this Agreement shall be constructed in accordance with the laws of the State of Georgia.
As a participant in sports and other activities with Georgia Impact. I am fully aware of the risks and hazards connected with my participation in such sports (“Activity”, and hereby elect to voluntarily participate in the Activity, knowing that the Activity may be hazardous to me and my property. I voluntarily assume all responsibility for any risks of loss, property damage or personal injury; that may be sustained by me on any loss or damage of property owned by me, as a result of being engaged in the activity, whether caused by negligence of Georgia Impact and any of its staff, volunteers, associates, representatives, subcontractors, agents or otherwise [ Hereby Release, Waive, Discharge and Covenant Not to sue Georgia Impact and any of its staff, volunteers, associates, representatives, or subcontractors ( hereinafter “Releases”) from any and all liability, claims, demands, actions, and causes of actions whatsoever arising out of or caused by the Negligence of the Releases or otherwise, while participating in any activity of Georgia Impact. It is my express intent that this release and Hold Harmless Agreement (hereinafter “Agreement”) shall bind the members of my family, if I am alive, and my heirs; assigns and personal representatives, if I am deceased, and shall be deemed as a Release, Waiver, Discharge and Covenant Not to Sue the above Releases. I hereby agree that this Agreement shall be constructed in accordance with the laws of the State of Georgia.
Fill in the email of the person who can legally sign the release and waiver agreements.
The signature of the person who can legally sign on the named participants behalf, or the named participant if 18yrs old.
The person who legally signed on the named participants behalf, including the named participant is 18yrs old.
The date you sign this form