PLEASE READ BEFORE ACKNOWLEDGING:

In consideration of the acceptance of my application for registration in the RVA Senior Softball Association (SSA), I have and do hereby assume all risks connected to the SSA activities. I hereby for myself, my heirs, executors, administrators, and assigns, waive and release and discharge any and all rights and claims for damages and/or losses which I may have against the SSA, its officers, board members and/or agents, for any and all activities connected with the SSA. I understand the meaning of this agreement and my signature hereon indicates that it is a voluntary act on my part.

In consideration of being allowed to participate in any way in the RVA SENIOR SOFTBALL ASSOCIATION , Leagues, Tournaments, and all sports programs whether involving team or individual sports and related events and activities, the undersigned acknowledges, appreciates, and agrees that:

• I am 18 years of age or over, and I desire to participate in the RVA SENIOR SOFTBALL ASSOCIATION adult sports Activities.
• The risk of injury from the activities involved in the program is significant, including the potential for permanent paralysis or death, and while particular rules, equipment, and personal discipline may reduce the risk, the risk of serious injury does exist.
• The risk to have direct or indirect contact with individuals who have been exposed to and / or diagnosed with one or more communicable diseases, including but not limited to COVID-19 or other medical conditions, diseases, or maladies, and / or any mutation or variation thereof, does exist and it is impossible to eliminate the risk that I could become infected through contact with or close proximity to an individual with a communicable disease;

I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others and assume full responsibility for my participation.

I willingly agree to comply with the stated and customary terms and conditions for participation. If, however, I observe any unusual, significant hazard during my presence or participation, I will remove myself from participation and bring such hazard to the attention of the nearest official immediately.

I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE AND HOLD HARMLESS THE RVA SENIOR SOFTBALL ASSOCIATION and its officers, officials, agents and/or employees, other participants, sponsoring agencies, directors, sponsors, advertisers, and, if applicable, owners and lessors of the premises used to conduct the event (collectively, the "Releasees"), WITH RESPECT TO ANY AND ALL INJURY, ILLNESS, DISABILITY, DEATH, or loss or damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE.

I HAVE CAREFULLY READ THIS AGREEMENT AND FULLY UNDERSTAND ITS CONTENTS. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY, HOLD HARMLESS AGREEMENT, AND ASSUMPTION OF RISK AGREEMENT AND THAT IT IS A LEGALLY BINDING CONTRACT BETWEEN RVA SENIOR SOFTBALL ASSOCIATION AND ME. I FURTHER UNDERSTAND THAT THIS RELEASE IS BINDING ON MY HEIRS OR ANYONE MAKING A CLAIM. I SIGN OF MY OWN FREE WILL.

ALL THE INFORMATION ON THIS FORM IS TRUE TO THE BEST OF MY KNOWLEDGE.

Player Name (Please Print )

Cell Phone Number