2023 ALS Rivalry Softball Challenge Registration Form & Waiver

5th Annual ALS Rivalry Softball Challenge

Game: Saturday, April 29th, 2023 Registration Deadline: March 29th
Team Choice

Bob's Sox (manager Andrew Taylor)Dirk's Dodgers (manager Tracy Thompson)The Royal Rooters
Shirt Size
Shirt Sizes Needed by March 29th - otherwise will receive best available on game day
Name

First NameLast NameAgeM/F
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Contact E-mail*
Phone Number*

Area CodePhone Number
For Players: Personal Bio
Help our announcers out! Share any interesting details about you, your ALS connection, hobbies, and other fun facts and stories for our announcers to intro you as you approach the the plate on game day.
Waiver

Please fill the waiver below. Individuals 18 and under require parents signature.
Participant First Name: Participant Last Name:   First Name   Last Name
Is the Participant under the age of 18? If so, a parent or guardian must complete this waiver.

GENERAL RELEASE
In consideration of The Joe Martin ALS Foundation’s permitting me (my child who is under 18) to participate in the Annual ALS Rivalry Softball Challenge to be held on Saturday, April 29th, at Tuckaseegee Dream Fields, I hereby, and for my (and my child’s) heirs, executors, administrators, assigns, and all legal guardians, WAIVE AND RELEASE ANY AND ALL RIGHTS AND CLAIMS OF ANY NATURE, FOUNDED IN WHOLE OR IN PART UPON ANY TYPE OF NEGLIGENCE that I (and my child) may have against The Joe Martin ALS Foundation, its directors, officers, employees, counselors, volunteers, agents, chapters, assignees, licensees, and cooperating entities, their representatives, heirs, executors, administrators, successors, and assigns (the ‘Released Parties’) arising out of resulting from any and all injuries or damages of any nature, including death, which I (or my child) may suffer while taking part in the Annual ALS Rivalry Softball Challenge, pre-event warm-up and practice, or any activities connected with this event. This release shall be binding upon me (my child), my (my child’s) heirs, executors, administrators, assigns (and all legal guardians of my child).

Yes   No   I understand and agree to the general release as stated above

USE OF LIKENESS, PHOTO AND FILM CONSENT
In consideration of The Joe Martin ALS Foundation’s permitting me (my child) to participate in the Annual ALS Rivalry Softball Challenge, I hereby give my consent to The Joe Martin ALS Foundation, its officers, directors, employees, agents, chapters, assignees, licensees, volunteers, and cooperating entities, their representatives, heirs, executors, administrators, successors, and assigns to use my (my child’s) photo or film of me (my child) in any medium, including, without limitation, The Joe Martin ALS Foundation’s websites and pages on social networking websites (e.g. Facebook), for use in editorial, educational, promotional, and advertising purposes, media coverage, for the solicitation of contributions, and for any other purpose in furtherance of the corporate purposes and objectives of The Joe Martin ALS Foundation, without payment to me or my child.

This consent shall be binding upon me (my child), my (my child’s) heirs, executors, administrator, assigns, and all legal guardians (of my child).

I understand and agree to the photo consent agreement as stated above:   First Name Last Name
Date
Enter the message as it's shown*
Registration Fee: $150 - Your registration fee does not count toward your total amount fundraised.

To Pay this fee, please make a donation through your personal MightyCause fundraising page. If you have not yet setup a fundraising page, please contact your team manager for links to your team MightyCause page:

Andrew Taylor (Bob's Sox): drewtaylor27@gmail.com

Tracy Thompson (Dirk's Dodgers): TThompson2@tiaa.org

For general information or help please contact lauriefoster@joemartinalsfoundation.org
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5th Annual ALS Rivalry Softball Challenge

Waiver