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Volunteer/Buddy Registration

Please cleary fill out all fields:
First Name (required, please enter clearly)
Middle Initial (required, please enter clearly)
Last Name (required, please enter clearly)
Address
City
State
Zip Code
Home Phone
Cell Phone
E-Mail Address
Date of Birth: Day Month Year

Drivers License Number(if over 16) (necessary and mandatory for security check, please enter clearly)
Participation Interest
Buddy: Coach: Fund Raising: Team Parent:
Day and Time

Release Form

*Mandatory Section
In consideration for Miracle League of Westchester, Inc. providing the opportunity for me to participate in Miracle League baseball, the undersigned does hereby release and agree to indemnify and hold harmless Miracle League of Westchester, Inc., its 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 assume all risks and hazards incidental to such participation in Miracle League games and activities and consent to receive first-aid and/or emergency care by a qualified Emergency Medical Technician or physician or other person qualified to render medical assistance in the event I suffer an injury during sanctioned games and activities.
Adult Volunteer Name
Date

-----Parents/Guardians, please fill out the following additional fields if the volunteer is under 18-----
Parent Email
Parent Cell Phone

Youth Release Form (under 18)

*Mandatory Section
In consideration for Miracle League of Westchester, Inc. providing the opportunity for my child to participate in Miracle League baseball, the undersigned does hereby release and agree to indemnify and hold harmless Miracle League of Westchester, Inc., its 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 assume all risks and hazards incidental to such participation in Miracle League games and activities and consent for my child to receive first-aid and/or emergency care by a qualified Emergency Medical Technician or physician or other person qualified to render medical assistance in the event my child suffers an injury during sanctioned games and activities.
Youth Volunteer Name
Date
Parent/Guardian Name
Date