Captain Registration – STL BigBalls Kickball

Captain Name(Required)

First Last

Email(Required)

Enter Email Confirm Email

Phone(Required)

Country Phone Number

Date of Birth(Required)

Team Name(Required)

League Day(Required)

Registration Fee(Required)

Price:

Jersey Size(Required)

Jersey Name

Enter the name EXACTLY as you want it printed on your jersey - 15 characters MAX - can be left blank

Jersey Number

Enter your desired Jersey Number - 2 characters MAX - can be left blank

Total Registration Fee

Payment Method(Required)

Credit / Debit Card

Venmo / PayPal

Credit Card

Cardholder Name

Card Details

Payment Method

Any additional information you'd like to pass along / Notes?

AMATEUR ATHLETIC WAIVER AND RELEASE OF LIABILITY

READ BEFORE SIGNING

In consideration of being allowed to participate in any way in BigBalls Kickball League (STL BBK LLC) athletic sports program, related events and activities, the undersigned acknowledges, appreciates, and agrees that:

1. The risk of injury from the activities involved in this program is significant, including the potential for permanent paralysis and death, and while particular rules, equipment, and personal discipline may reduce this risk, the risk of serious injury does exist; and,

2. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume full responsibility for my participation; and,

3. I willingly agree to comply with the stated and customary terms and conditions for participation. If, however, I observe any unusual significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the nearest official immediately; and,

4. I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE AND HOLD HARMLESS BigBalls Kickball League (STL BBK LLC) their officers, officials, agents, and/or employees, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors of premises used to conduct the event (“RELEASEES”), WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, or loss or damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, to the fullest extent permitted by law.

Enter your full legal name as your electronic signature.(Required)