This registration form is designed to be filled out online, but you can also print this page and mail it to the address below with your registration fee. If you register online or by mail, the registration fee is $80, at the gate it is $100.
  Name  
  Address  
  City  
  State  
  ZipCode  
  Phone  
  Email  
       
  Age  
  Positions Played  
  Shirt Size  
   

 
  Pool/Individual Player  
  Team Desired (if any)  
   

 
   

 
WAIVER AND RELEASE OF LIABILITY


I understand that certain risks are inherent in my participation in the game of baseball and travelling to this event. I assume these risks of my own accord and will hold harmless, any person, of any injury or illness I may sustain in the course of traveling to/from this event, playing baseball, or while participating in any associated activities. I am aware of the risks, dangers, and hazards associated with this activity and I hereby waive any and all claims. I attest that I have no knowledge of any physical impairment that could affect my participation. I also hereby authorize the organizers to act for me according to their best judgement in any emergency requiring medical attention and hereby waive and release them from any liability from injuries or illness incurred.

By checking this box online, it stands as an electronic verification that you agree to the waiver and release of liability 


(if printed, sign below and mail to:  Geno Rueckert  9458 Flick Rd.  Cincinnati, OH 45247)



Signature:____________________________________         Date: _____________________


   
    
Inspired by Nina