Player/Volunteer Registration

The undersigned parent/guardian represents to SoCal Beep Baseball Association that the minor named in this application is in his and/or her legal custody and control; and that the undersigned desires said minor to participate in the programs of SoCal Beep Baseball Association, and that for purposes of said participation the undersigned agrees, authorizes and states as follows: In case of medical or dental need or emergency, I (we) understand every effort will be made to contact parents/guardians of children. In the event I (we) cannot be reached, I (we) undersigned, parents/guardians of participant, do hereby authorize SoCal Beep Baseball Association and its officers or staff employees as agent(s) for the undersigned to obtain and consent to any x-ray examination, anesthetic, medical, dental, surgical diagnosis, treatment and hospital care which is deemed advisable by, and is to be rendered to said minor under the general or special supervision of any surgeon licensed under the provisions of the Medical Practice Act or the medical staff of a licensed hospital or by a dentist licensed under the provisions of the Dental Practice Act, whether such diagnosis of treatment is rendered at the office of said physician or dentist or at the said hospital. I (we) also understand and agree that any and all such medical, dental, hospital or similar expenses incurred in the treatment of my (our) child will be borne by myself (ourselves). We understand that no representation of such coverage exists or is intended by this form. It is understood that this authorization is given in advance of any specific medical or dental diagnosis, treatment or care being required but is given to provide authority and power on the part of SoCal Beep Baseball Association (as aforesaid) as my (our) agent(s), to give specific consent to any and all such diagnosis, treatment or care which a licensed physician or dentist in the exercise of his/her best judgment may deem advisable. The authorization is given pursuant to the provisions of Sections 25.8 of the Civil Code of California. This authorization shall remain effective while the child is enrolled in SoCal Beep Baseball Association Programs, unless sooner revoked in writing and delivered. The undersigned further releases SoCal Beep Baseball Association, its officers, agents, and employees from any and all legal responsibility for accidents or sickness occurring during or related to the period of time said person is a participant in programs of SoCal Beep Baseball Association. I (we) further agree and covenant (for valuable consideration, receipt of which is acknowledged) that neither said person or I (we) will institute any suite or action of damage, loss or injury of any kind, whether to person or property, whether to me (us), individually, or as parents/guardians relating to the programs or activities of SoCal Beep Baseball Association (including but not limited to the SGV Panthers and All-Women’s team events) in which the person participates. Current Medical Insurance is mandatory in order to participate in any recreation activity or event. Any medical costs incurred while participating in any SoCal Beep Baseball Association Programs (including the SGV Panthers and All-Women’s team events) shall be the responsibility of the participant’s parent or guardian. Medical costs include: physician visit, emergency room visit, prescription medication, and/or emergency transportation. It is also to be understood and agreed that any and all such medical, dental, hospital, or similar expenses incurred in the treatment of the participant will be borne solely by the parent or guardian. If a situation requires medical treatment, the parent or guardian will be contacted by a staff member and informed of the situation. Should a situation arise where the parent or guardian cannot be reached, the participant will be taken to the local emergency facility for treatment.