Mid-Dakota Baseball Academy
2012 Fall League
The Mid-Dakota Baseball Academy will be conducting its 1st annual Fall Baseball League. The league will be held on select Saturdays and Sundays in September and early October. The purpose of the Fall Baseball League is to give athletes the opportunity to continue their development in baseball.
Important League Info:
Mid-Dakota Baseball Academy
2012 Fall League Registration
Athlete's Name___________________________________________
Address________________________________________________
City____________________________ ST________ Zip__________
Phone Number___________________________________________
E-mail__________________________________________________
Age__________ Grade__________
School_________________________________________________
Release & Indemnity Agreement
To Mid-Dakota Baseball Academy, City of Mt. Vernon and the Mt. Vernon Baseball Association:
(the City of Mt. Vernon and the Mt. Vernon Baseball Association does not endorse/sponsor the MDBA)
We (or I) hereby request that you accept the enrollment of (player’s name)__________________________________________ to the Mid-Dakota Baseball Academy. With your consideration of the acceptance of the application, we (or I) hereby release MDBA, the City of Mt. Vernon and the Mt. Vernon Baseball Association and all its employees from all claims on account of any injury, which may be sustained by our (or my) student while attending/participating in the MDBA's Fall Baseball League. And we (or I) agree to indemnify MDBA, the City of Mt. Vernon and the Mt. Vernon Baseball Association and its employees for any claim that may hereafter be presented by our (or my) player as a result of any such injuries.
Parent(s) Signatures______________________________________
Phone # (H)_____________________ (C)_____________________
E-mail__________________________________________________
Date____________________________________________________