Registration 2021 (Port Dover Minor Baseball)

Print Registration 2021
  1. Port Dover Minor Baseball Player Registration Form 2021

    Once Completed it will be automatically Emailed to the Registration Manager

Player Information
  1. Only Required for First time registrations at Port Dover
  2. Allowed extensions: .jpeg, .jpg, .png, gif, .pdf, .doc, .docx.
    Maximum # Files: 3. Maximum File Size: 4MB.
    Only required for first time registrations at Port Dover
  3. Insert Gender preferred if Custom indicated above
  4. Example: [email protected] Your submission will be sent to this address.
  5. Example: ###-###-####
Parent/Guardian Information
  1. Example: ###-###-####
  2. Example: [email protected] Your submission will be sent to this address.
Medical
Please List any allergies/ Medical Problems, including those requiring medication ( For Example: Diabetic, Asthma, Seizures etc ) Please ensure you inform your Coach(s) of any of the below
  1. Please List Allergies and Inform your coach
  2. Please list all conditions you wish to divulge and inform your coach
  3. Please ensure your coach(s) are made fully aware
  4. Please include name location and contact detail and update your coach(s)
Emergency Contact
Contacts for when Parent/ Legal Guardian listed in this Registration are not able to be reached. Ensure your Coaches have this information
  1. Emergency contact other than parent specified in this form
  2. Example: ###-###-####
  3. Example: ###-###-####
  1. Emergency Treatment

     

    In case of emergency, I hereby authorise my child to be treated by Certified Emergency Personnel (i.e. EMT, First Responder, E.R. Physician). I give permission for emergency medical treatment in the event I cannot be reached.

  2. Liability 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 Port Dover Minor Baseball  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 Port Dover Minor Baseball  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 Port Dover Minor Baseball 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, Port Dover Minor Baseball 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 Port Dover Minor Baseball to their players. An overview of  the current sports accident coverage provided by Baseball Ontario can be found on the Baseball Ontario Website in the Insurance Program Overview. 
Volunteering
PDMBA as all associations rely on Volunteers to survive. Please indicate where you can help






  1. Check All That Apply
  1. Dual Registration:

    By completing this form, you are registering with both Port Dover Minor Baseball and Baseball Ontario.  Baseball Ontario appoints Port Dover Minor Baseball  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 Port Dover Minor Baseball for fees collected.
  2. Refund Policy:

    Covid 19

    Contact Liz Dadds for any issues or enquiries ([email protected])


  3. 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 us at [email protected]
  4. Photo Consent:

    I authorize Port Dover Minor Baseball and/or its staff, associates, assistants, or subcontractors to use photograph(s), video and other media image provided for any Port Dover Minor Baseball  promotional, educational or other pertinent uses. I also agree to Port Dover Minor Baseball  using any images of the named minor(s) gathered by photographers, and or videographers supplying images to Port Dover Minor Baseball . I understand that some photographs with names will appear in local press publications for example when reporters attend games, practices or other events together with Annual Award Ceremonies.

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

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

    I agree that Port Dover Minor Baseball may use name, likeness, or information supplied by the undersigned.

    The undersigned releases and forever discharges Port Dover Minor Baseball 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.
  5. 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:

    Province of Ontario Concussion Education Resources (Rowans Law)

    Baseball Ontario Player Code of Conduct


    Rowan's Law Acknowledgement:

    I hereby confirm that the player being registered to participate in baseball activities with the 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.
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Printed from portdoverminorbaseball.com on Thursday, May 6, 2021 at 5:16 PM