Fillable Printable Release of Liability Form Template

Release of Liability Form Template

FF0000NOTE: This document of record must be signed by a parent or legal guardian for each player and a signed copy MUST be present at

every team event.

Last Modi"ed: 1/20/08

Spring Klein Sports Associaon Baseball - Medical Consent / Liability Waiver

SKSA Team Name: Age Group:

PLEASE READ THE MEDICAL TREATMENT CONSENT AND LIABILITY WAIVER STATEMENTS BELOW AND SIGN WHERE APPROPRIATE.

Player Name Medical Condions? Emergency Contact & Phone Number

Medical Treatment Consent:



Liability Waiver:  

!"# #$%&'&(

 )I HEREBY RELEASE, DISCHARGE, INDEMNIFY AND HOLD

HARMLESS %&%

& (*

 !+&$

PARENT/LEGAL

GUARDIAN NAME

PARENT/LEGAL

GUARDIAN SIGNATURE