Releases and Waiver of Liability – For Umpires

October 1, 2015

Dear Parent(s) or Legal Guardian(s) of a minor who is a prospective umpire for the Little League division of Temescal ValleyYouth LL Baseball, Inc. (LSYB) for the period of March 1, 2015 to July, 31, 2015:

This form must be signed by you, for your child to be an umpire in the Little League 60’ diamond divisions.Please read it carefully, then sign and return it via hand delivery by you or your child at a training session, provided by TVLL (Umpire in Chief or President of TVLL)

Umpiring involves risk of injury. The activity involves hard balls, hard bats, catchers who sometime toss rigid masks, etc. There is no way to completely eliminate risk. Among the things we do to reduce risk, is to provide a sheet entitled “Some Safety Reminders for SLL Managers & Umpires.” It is enclosed herewith and posted in the “Documents” section of our website: You must read the section within it entitled “Additional Reminders for Umpires for their own safety” and be sure your minor/child umpire has read it.

Emergency Contact Information. If something occurs, we will need to reach you. For that reason the “2015 Umpire Registration Form” asks for the name of each parent or legal guardian, and the best telephone to call during game times.

Transportation to and from umpire related events are the sole responsibility of the parent or legal guardian.

Temescal Valley Little League may post pictures of game participants on the it’s website. In such pictures, your child may be visibly identifiable. We want you to be aware of this in the event this possibility creates a privacy concern. This signed form will be considered as granting permission should your child be in such a picture.

An umpire’s contact information (name, phone numbers, e-mail and home addresses, and emergency contact information) may be given to the division’s commissioners, managers, and coaches. This may necessary so they can advise the umpire of any game changes from the initial schedule, and to contact you in the event of an emergency.

All game assignments that are accepted via e-mail, phone, or in person are the responsibility of the umpire. If an umpire cannot make a game they must contact the Umpire in Chief or President or known responsible party to cover an absence 2 hours prior to the game time. Not doing so could result in dismissal or loss of all games.

As parent or legal guardian of the umpire-registrant named below, a minor child, I hereby acknowledge that I have read the above and give approval for the participation of my child in umpire related activities of Temescal Valley Little League, in full recognition of the possibility of physical injury associated with said participation. In consideration for the acceptance of my child into said activities, I hereby release, discharge, and/or otherwise indemnify Temescal Valley Little League Baseball, and their directors, officers, coaches, sponsors, employees, volunteers, and associated personnel, including the owners of fields, facilities, and equipment utilized for said programs, against any claim legal, monetary or otherwise, by or on behalf of my child or consorts arising as a direct or indirect result of my child’s participation in said programs, including as a direct or indirect result of being transported to and from same, which transportation I hereby authorize when necessary. In the event that emergency medical care is required, I hereby consent to its being administered or prescribed by a duly licensed health care provider under whatever conditions are necessary to preserve life, limb, or wellbeing of my child, and I hereby release, discharge, and/or otherwise indemnify all agents, volunteers, and associated personnel of Lincoln-Sudbury Youth LL Baseball, Inc. from any and all liability arising directly or indirectly out of actions taken and decisions made by said agents, volunteers, and associated personnel in the process of providing first aid and obtaining professional medical care.

Full Name of Minor Umpire (Please Print): ______

Full Name of Parent/Guardian signing form (Please Print): ______

Parent/Guardian Signature: ______ Date: ______