2023 Registration Form (Walkerton Minor Ball)

Print 2023 Registration Form

Player Information

Sport administers in Ontario have been mandated to comply with certain participant/registrant requirements. Government legislation requires participants of sport to acknowledge specific mandatory waivers and forms. Baseball Ontario has implemented a Central Registration System that local associations now use in order to ensure that all players comply in completing the appropriate waivers to participate. Players/Parents are to carefully read all forms in this registration package.

Birth Year^*
Birth Month^*
Birth Day^*
Player First Name^*
Player Last Name^*
Gender^*
FemaleMale
Parent /Guardian Email Address^*

Example: [email protected] Your submission will be sent to this address.
Parent/Guardian Phone Number^*

Example: ###-###-####
Street Address^*
Suite Number^*
City^*
Province^*
Ontario
Country^*
Canada
Postal Code^*

Parent/Guardian Information

Parent/Guardian First Name^*
Parent/Guardian Last Name^*
Contact Phone Number - Secondary^*

Example: ###-###-####
Parent/Guardian Email Address - Secondary^*

Example: [email protected] Your submission will be sent to this address.

Medical Conditions

We respect your privacy. Completing this question is optional. Inform coach at your own discretion.

Any medical condition that you feel the team coach should be aware of? (e.g. allergies, asthma, injuries)

Registration

Select Division^*

WE WOULD LIKE TO CONTACT YOU VIA EMAIL

To improve our communications and service we would like to correspond with you via email. In order to comply with Canadian legislation relating to commercial electronic messages, we are seeking your consent to communicate with you via electronic messages, including email, related to your relationship with Baseball Ontario including team selection, program, membership, promotional materials and other Baseball Ontario information. You may choose not to receive these communications at any time by emailing Baseball Ontario at [email protected] and Walkerton Minor Ball at [email protected]

I consent to receiving electronic messages from Baseball Ontario and Walkerton Minor Ball, as set out above. You can withdraw your consent at any time*^*
Privacy Policy:

Walkerton Minor Ball formally adopted(2020) the Privacy Policy as set out by Baseball Ontario. Please be sure to review the Baseball Ontario Privacy Policy which can be found on their website at the following link:

https://digitalshift-assets.sfo2.cdn.digitaloceanspaces.com/pw/94f886b6-13b9-44d6-96bf-8dea6c2d577e/f-2660fe73-fe7f-45cf-a639-8e8245e6b056/Baseball%20Ontario%20Privacy%20Document.pdf

WHAT IS THIS PRIVACY ASSURANCE FOR?
Baseball Ontario’s Privacy Assurance provides an overview of our privacy principles and practices and seeks your consent to the collection, use and disclosure of your personal information in the course of providing our programs and services. Further details about our privacy principles and practices may be found in our Privacy Policy available online at baseballontario.com. To the extent of any conflict between this Privacy Insurance and the Privacy Policy, the Privacy Policy shall prevail.

I agree to the terms and conditions stated above^*
Dual Registration

By completing this form, you are registering with both Walkerton Minor Ball and Baseball Ontario. Baseball Ontario appoints Walkerton Minor Ball to collect fees on its behalf, included in the registration fee collected through this process. No additional monies is charged to the parent registering locally. Baseball Ontario invoices Walkerton Minor Ball for fees collected.

I agree to the terms and conditions stated above^*
Liability/Injury Waiver

On behalf of myself and the player being registered, I recognize that baseball entails serious risks. Consequently, except as noted below, I and the player being registered relinquish all rights to a claim of any kind, including the right to a claim for bodily and material damages, regardless of the cause, against Baseball Ontario, its member associations, including Walkerton Minor Ball and their respective officers, employees, coaches, umpires, assignees, agents, representatives, and sponsors, even if such damages result from negligence of Baseball Ontario, its member associations, including Walkerton Minor Ball and their respective officers, employees, coaches, umpires, assignees, agents, representatives, and sponsors.

Without restricting the generality of the preceding, I and the player being registered also relinquish the right to any claim against Baseball Ontario, its member associations, including Walkerton Minor Ball and their respective officers, employees, coaches, umpires, assignees, agents, representatives, and sponsors resulting from a decision on their part, regardless of the nature of this decision.

This release of Baseball Ontario, Walkerton Minor Ball and the other persons noted above does not preclude myself or the player being registered from making a claim under any sports accident coverage provided by Baseball Ontario and/or Walkerton Minor Ball to their players. An overview of the current sports accident coverage provided by Baseball Ontario can be found at
https://digitalshift-assets.sfo2.cdn.digitaloceanspaces.com/pw/94f886b6-13b9-44d6-96bf-8dea6c2d577e/f-d130805c-daa2-4295-8dd0-edd39f4fa93d/Dual%20Registration%20and%20Liability%20Waiver%20updated%202-3-23.pdf

I understand the overview of the current sport accident coverage that will be provided and agree to the terms and conditions stated above*^*
Photo Consent

I authorize Walkerton Minor Ball and/or its staff, associates, assistants, or subcontractors to use photograph(s), video and other media image provided for any Walkerton Minor Ball promotional, educational or other pertinent uses. I also agree to Walkerton Minor Ball using any images of the named minor(s) gathered by photographers, and or videographers supplying images to Walkerton Minor Ball.

These images may include, but are not exclusive to, club, coach, athlete and/or parent, and/or volunteer submissions by various member associations of Walkerton Minor Ball.

I authorize Walkerton Minor Ball to permit the use and display of photographs and/or recordings of the named minors in any Walkerton Minor Ball publication, multimedia production, including video and web usage, display, or advertisement.

I agree that Walkerton Minor Ball may use name, likeness, or information supplied by the undersigned.

The undersigned releases and forever discharges Walkerton Minor Ball and its officers and employees from any and all claims and demands arising out of or in connection with the use of said photographs / recordings, including but not limited to, any claims for invasion of privacy or defamation.

I agree to this photo consent as set out above. You can withdraw your consent at any time*^*
Rowan’s Law

Under Rowan's Law, before any player can be registered with the local association and Baseball Ontario, the player, and the parent or legal guardian of the player if the player is under 18 years of age, must review one of the Concussion Education Resources provided by the Province of Ontario and must review the Player Code of Conduct. Links to these resources are provided here and will open in a separate window:

Province of Ontario Concussion Education Resources:
Link to the Baseball Ontario Rowan's Law compliance page
https://www.playoba.ca/rowans-law

Baseball Ontario Player Code of Conduct:
Walkerton Minor Ball has adopted(2020) the Baseball Ontario player code of conduct as its own. The following link is made available to the registrant. Please review.

Player_Code_of_Conduct_2-9-2020.docx

I hereby confirm that the player being registered to participate in baseball activities with my local association and Baseball Ontario, and the parent or legal guardian of the player being registered if the player is under 18 years of age, have reviewed one of the concussion education resources provided by the Province of Ontario as referenced above and have reviewed the player code of conduct as referenced above. I / we further acknowledge understanding the nature and risk of concussion and head injury to athletes, including the risks of continuing to play after a concussion or head injury is suspected.*^*

Payment

Payment made through Paypal, you do not need to have a Paypal account to Pay for your registration. Registration is not complete until payment is received.

Select Division^*

Refund

Walkerton Minor Ball will provide a full refund up to May 31st for Baseball and Girls Softball.
T Ball and Minor Rookie we will provide a full refund up to June 15th.

I agree to the terms and conditions stated above^*

Human Validation

Check The Box ^*

2023 Registration Form (Walkerton Minor Ball)

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