Autumn Baseball League Volunteer Team
Registration form: One
application per team and please print legibly.
Please read the following, sign and date ALL PAGES and return with registration
fee of $285 payable to: AUTUMN BASEBALL LEAGUE. Submit fee with application.
MAIL OR DROP OFF to Herman Bomback, 293 Linden St., Fall River, MA
02720 before the deadline September 1st,
2011 at 8 pm. NOW EXTENDED TO SEPT. 3RD.
Name of Team_______________________________________________
Circle your Division: 8U, 10U, 12U, 14U, 16U, 18U
Home Field and Location_________________________________________________________________________
Team Manager_______________________________________
Address_______________________________________________________________________________________
Tel. Number______-______-____________
* Email Address___________________________________________
Team Coach_________________________________________
Address_______________________________________________________________________________________
Tel. Number_____-_____ -_______________
* Email Address__________________________________________
Team Coach__________________________________________
Address_______________________________________________________________________________________
Tel. Number_____-_____ -_______________
* Email Address__________________________________________
If you have more than one team, please
use another form.
Age groups:
NEW! Pee Wee (8U):
if player becomes 9 on or after April 1st, 2011 he/she's eligible
Junior (10U): if player becomes 11 on or after April 1st, 2011 he/she’s eligible.
Senior
(12U): if player becomes 13
on or after April
1st, 2011 he/she’s eligible.
Minor
(14U): if player becomes 15
on or after April
1st, 2011 he/she’s eligible.
Major
(16U): if player becomes 17
on or after April
1st, 2011 he/she’s eligible.
High School Division (18U):
if player becomes 19 on or after April 1st, 2011 he/she’s eligible.
DISCLOSURE STATEMENT
Autumn Baseball
League (ABL)
I have read and understand that I may be disqualified and prohibited from serving as a volunteer under
auspices of the Autumn Baseball League (ABL) if, among other things, I have:
1) Been convicted (including crimes of record which have been expunged and pleas of “no contest”)
of a crime of child abuse, sexual abuse of a minor, physical abuse, causing a child’s death, neglect of a child, murder,
manslaughter, felony assault or any assault against a minor, kidnapping, arson criminal sexual conduct, prostitution related
crimes, controlled substance crimes, or any other felony;
2) Been adjudged liable for civil penalties or damaged involving sexual, physical or verbal abuse
of children;
3) Been subject to any court order involving any sexual, physical or verbal abuse of a minor, including,
but not limited to, a domestic protection order;
4) Had parental rights terminated;
5) A history with another organization (volunteer, employment, etc.) of complaints of sexual, physical
or verbal abuse of minors;
6) Resigned, been terminated or been asked to resign from a position, whether paid or unpaid, due
to a complaint(s) of sexual, physical or verbal abuse of minors;
7) A history of behavior that indicated I may be of danger to children in the ABL program.
8) Team managers are responsible for screening all of team’s coaches and associates.
Signature of
Manager:______________________________________Date:_______________________
ABL DISCALIMER:
Do any of the above statements apply to you? Yes________ No________
If you check “Yes” to any disclosure item(s), please circle the number(s) and attach an
explanation on a separate page.
WAIVER, CONSENT AND RELEASE OF LIABILITY:
I hereby consent to the investigation
and verification of all information given in this application, including searches of law enforcement and public records (including
driving records and criminal background checks). I hereby release and agree to
hold harmless the ABL and it's officers, employees and volunteers, and any person or organization that provides information
for or to the ABL, concerning the use of or any attempt to verify the information provided in this application. I declare that all of information given by me in this application is true and complete to the best of my
knowledge, and I understand that any misrepresentation or omission may be caused for suspension or dismissal from my volunteer
status with my team and the ABL.
If accepted as an ABL volunteer, I hereby agree to abide by the ABL bylaws, rules, regulations, policies
and philosophies, and all decisions and directions of the Board of Directors and understand that I may be removed as an ABL
volunteer at any time with or without cause. Because the team I represent
is independent, the team’s organization shall be well informed of any improprieties and provided with any or all such
evidence used against me. Any volunteer subject to removal shall have an opportunity
to present his/her case before the ABL’s Board of Directors as well as the independent’s own governing body.
DISCLAIMER, ASSUMPTION OF RISK AND WAIVER: For myself
and on behalf of my heirs, assigns and next of kin, I acknowledge that participation in the sport involves travel, participation
on adverse field conditions, contact with considerable force and risk of severe, permanent injury including bruises, scrapes,
strained, sprained or torn muscles, tendon or ligament, broken bone, dislocation of joint, concussion, brain damage, nerve
and spinal cord injury, paralysis and death. For myself, and on behalf of my
heirs, assigns and next of kin, I willingly and voluntarily accept and assume all such risks of participation. My independent team, myself or a combination of both, shall exclusively be responsible for any and all
liability. The ABL shall share no responsibility.
I further acknowledge that the “ABL” is primarily administered by volunteers rather than
paid professionals.
In consideration of accepting the registration and permitting my voluntary participation in its programs
for myself and on behalf of my heirs, assigns and next of kin, I hereby release, discharge and agree to hold harmless the
ABL, its employees, volunteers, officials, sponsors and other representatives and any and all owners, lessors, lessees or
other persons or entities allowing, permitting or authorizing the use of facilities by the ABL and the agents, employees,
officers and directors of said persons or entities from any and all claims, demands, costs, expenses and compensation arising
out of or in any way related to any injury or other damage that may result to
me or member of my family or my household or individuals I invite for whom I am otherwise responsible while participating
in or present at any ABL sponsored event, including any physical or other injury caused by the negligence of any person or
entity described above.
All teams are independent and all persons
entering the ball park (including fans and spectators) will assume all risk and danger incidental to the game of baseball
whether occurring prior to, during or subsequent to the actual playing of the game, including specifically (but not exclusively)
the danger of being injured by thrown bats and thrown or batted balls. The players
and fans agree the participating team’s players and team officials are not liable for injuries resulting from such causes.
Finally, all players, fans and I release, discharge and agree not to take legal action against the
Autumn Baseball League or owner on which baseball is/was practiced or played by my team. I
further agree that I shall hold harmless and fully indemnify the Autumn Baseball League, it’s officers and family members,
employees, agents, or anyone connected to the League’s staff. For liability coverage and medical coverage, I understand that I’m am responsible
for acquiring the insurance policies myself and the Autumn Baseball is not in any way responsible for the above.
I will convey the information above to all players, player’s parents, fans, and sponsors and
all involved with my independent team and shall have all players’ parents acknowledge and sign a liability acknowledgement
form.
I HAVE READ THE ABOVE DISCLOSURE STATEMENT, WAIVER, CONSENT AND RELEASE OF LIABILITY, DISCLAIMER,
ASSUMPTION OF RISK AND WAIVER, AND ACKNOWLEDGE AND CONSENT AGREEMENTS, FULLY UNDERSTAND THE TERMS OF EACH, UNDERSTAND THAT
I HAVE GIVEN UP SUBSTANTIAL RIGHT BY MY SIGNING THIS FORM AND AGREEING TO THESE TERMS, AND I SIGN THIS FORM AND AGREE TO THESE
TERMS FREELY AND VOLUNTARILY AND WITHOUT INDUCEMENT OF ANY KIND.
Signature of Manager:
______________________________________
Date: _________________________
