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 DARTMOUTH LITTLE LEAGUE

I HEREBY WAIVE AND RELEASE THE DARTMOUTH LITTLE LEAGUE, ITS AGENTS, REPRESENTATIVES, COACHES, OFFICIALS, EXECUTIVE MEMBERS, BOARD MEMBERS AND SPONSORS FROM ANY CLAIM OR ACTIONS FROM ANY INJURY WHICH MIGHT BE RECEIVED BY MY CHILD DURING ANY ASSOCIATION ACTIVITIES. I CERTIFY THE ABOVE-MENTIONED DATE OF BIRTH IS CORRECT AND AM WILLING TO PROVIDE PROOF IF NECESSARY. I REALIZE PLAYERS ARE NOT INSURED AND ARE NOT PERMITTED AT TRYOUTS, IN THE GYM OR ON THE FIELD UNTIL REGISTRATION IS COMPLETE, I.E. REGISTRATION FORM COMPLETED IN FULL, HEALTH CARD NUMBER FILLED IN, PROOF OF DATE OF BIRTH SUPPLIED (IF REQUESTED) AND REGISTRATION FEE IS PAID IN FULL. I AM ALSO AWARE THAT THE ASSOCIATION AND THE PLAYER’S COACH SHOULD BE MADE AWARE OF ANY RELEVANT MEDICAL CONDITION AS SOON AS POSSIBLE.