Miracle League of Southwestern PA

 

 

 

 

Volunteer Registration-Youth

 

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Volunteer's Information

*First Name:

 

 

*Last Name:

 

 

*Birthdate: (mm/dd/yyyy)

 

 

*Gender: 

 

 

*# of Previous Seasons Volunteered:

 

 

*Shirt Size:   

 

 

*Address:  

 

 

*City:   

 

 

*State:  

 

 

*Zip:  

 

 

*Home Phone:   (xxx-xxx-xxxx)

 

 

*Volunteer Cell:   (xxx-xxx-xxxx)

 

 

*Volunteer Email:   

       

 

Requests (player, team, with another buddy, etc. NOT GUARANTEED)

 

 

Parent/Guardian's Information

 *Parent/Gaurdian Name:   

 

 

*P/G Cell:   (xxx-xxx-xxxx)

 

 

*P/G Email:

 

 

 

Emergency Contact

*Emergency Contact: 

 

 

*Emergency Phone: (xxx-xxx-xxxx)

 

 

 

 

Volunteer's Position Choice

*First Choice:             

 

  Choose other positions if first choice is unavailable:

      Buddy

      Buddy Team Leader

      Announcer

      Coach

      Umpire

 

Waivers

In consideration for The Miracle League providing the opportunity for my child to participate in Miracle League baseball, the undersigned does hereby release and agree to indemnify and hold harmless The Miracle League, it’s staff, officers and directors from any and all claims for personal injury, death, property damage, or any type of claim or damage (including but not limited to attorney’s fees or litigation expenses) resulting from my child’s activities in connection with participation in Miracle League baseball or the participation of any family member or guest of the undersigned.  I consent for my child to receive first aid and/or emergency medical care in the event of an injury. 

 

I/We understand that there will be media and promotional coverage of The Miracle League games and activities and I/We give our consent to publish my/our child’s name and picture for such purposes. 

 

*Initials (must initialize to agree to waivers to register)

 

 

Please double check your information before clicking on OK.

 

Don't click the OK button more than once

 because you will double (or more) register.

 

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