Team Name: CENTRAL CONNECTICUT FALL BASEBALL (CCFBL) TEAM ROSTER FORM (2016) Head Coach Name: Head Coach Signature: Home Phone: Team Affiliation: Cell Phone: Work Phone: Age Division: Player Name (Print) Subdivision (Red Or Blue): Player Address E-Mail: Player Birth Date Player League Age (per 2016LL Age Chart) Parent/Guardian Name (Print) Parent/Guardian Signature Indicating Acceptance of Playing Terms Printed Below 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. CCFBL Playing/Coaching/Participation Terms: 1. I/We, the parents/guardians of the above-named player, hereby give my/our approval to participate in any and all CCFBL Fall Ball activities. 2. I/We, the parents/guardians of the above-named player, know that participation in baseball games & practices may result in serious injuries and protective equipment does not prevent all injuries to players, and do hereby waive, release, absolve, indemnify, and agree to hold harmless CCFBL, the local league/organization sponsoring or operating the team, the coaches, managers, umpires, administrators, organizers, sponsors, supervisors, ballpark owners & caretakers, and participants from any claim arising out of any injury to my/our child whether the result of negligence or for any other cause. 3. I/We, the parents/guardians of the above-named player, hereby agree to adhere to the league’s Code of Conduct as presented at www.ccfbl.org and understand that failure to comply with said Code of Conduct may result in the partial or full loss of privileges at the sole discretion of CCFBL. 4. I the Head Coach hereby agree that I and my team will adhere to the league’s Code of Conduct as presented at www.ccfbl.org and understand that failure to do so may result in the partial or full loss of privileges for myself, my assistants, my players, our fans/parents, or my entire team at CCFBL’s sole discretion. 5. I the Head Coach hereby certify that all players on my team are of the appropriate league age for the division in which we are playing. 6. I the Head Coach hereby certify that I & my staff have had no convictions/incidents that would result in failing a LL or other youth sport background check.
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