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KENNEWICK SOFTBALL ROSTER AND HOLD HARMLESS AGREEMENT TEAM COACH’S PHONE: TEAM REP’S PHONE: I, THE UNDERSIGNED, in consideration of your accepting my (or my child’s) entry, hereby consent to participation in the Kennewick softball program. I realize and understand that there are certain risks inherent in the activity for which I have registered. Also, in consideration of the fee charged for this program, I agree to hold the city of Kennewick, Pasco, Richland, all school districts involved in the program, the National Softball Association, United States Specialty Sports Association and the Amateur Softball Association, and all their respective officers, employees, agents, representatives, successors, or assigns of any kind, and any employee or volunteer involved in the program harmless from, and indemnify them for, any damage or loss arising as a result of my (my child’s) participation in this activity. I give permission to have my (my child’s) photo taken during this program and used for publicity purposes by the City of Kennewick. I hereby give my consent for emergency medical treatment. I understand that this is to prevent undue delay and assure prompt treatment and that only a licensed healthcare provider will be engaged for such an emergency. All players must sign before being eligible to play. NAME 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. SIGNATURE (Parent’s signature if under 18 yrs. of age) ADDRESS PHONE # E-MAIL ADDRESS