2022 MYBA FALL- PARENTAL ACKNOWLEDGEMENT, PLAYER REGISTRATION and RELEASE FORMS -(Click Here for Link) (clone)
MUST be completed in it’s entirety. A Parent or Legal Guardian of the Participant MUST acknowledge and consent to the Safety Protocols and Guidelines ( COVID 19), Parental Player Participation Authorization , Medical and Photo/Video/Live Streaming Releases portions and Parent/Guardian Code of Ethics – by entering your name (as lawful signature) and entering the date completed.
League: Please select a league 2022 Fall 5U T-Ball 2022 Fall 6U CP 2022 Fall 7U CP 2022 Fall 8U CP 2022 Fall 9U Majors 2022 Fall 9U Modified 2022 Fall 10U AAA 2022 Fall 10U Majors 2022 Fall 11U AAA 2022 Fall 11U Majors 2022 Fall 12U AAA 2022 Fall 12U Majors 2022 Fall 13U AAA 2022 Fall 13U Majors 2022 Fall 14U Majors Team: Clemente Doral Prospects KSA Next Level BB DD Athletics Doral Prospects FS Baseball I AM United 6U KSA Latinoamericana Line Drive Black Line Drive Grey The Future DD Athletics Doral Royal Vikings Dynasty BB Hialeah Heat I AM United 7U KSA Line Drive Legends MPB Team Blanco The Future Next Level BB All Stars Blue Devils FS Baseball Hialeah Heat KSA Latinoamericana MPB Black MPB White Phantoms Team Blanco The Varona Bulls OTB Team Sosa All Stars Blue Devils Doral Royal Vikings Latinoamericana New Era Elite Evolution Miami Bomb Squad Blue Devils DD Athletics Doral Royal Vikings Dynasty Elite Dynasty Select I AM United 8U KSA Latinoamericana Line Drive Black Line Drive Grey Team Blanco Miami Springs River Flyers MPB Blu Print Clemente Doral Snipers Dynasty BB I AM United 9U KSA Latinoamericana Line Drive Prospects Miami Fire Miami Redbirds MPB New Era Elite Evolution Palmetto Raptors Phantoms Sharks The Future Prospects Danny Berry MB Bulldogs Blue Jays DD Athletics I AM United 10U Line Drive Elite Team Sosa The Future Elite The Future Orange Blue Devils Clemente Dynasty BB Latinoamericana Line Drive Alpha Miami Cubs Miami Indians Miami Wolfpack MPB Black MPB White Miami Springs Thunder Danny Berry MB Bulldogs Aces Downtown Dreamers Kachi Phenoms KSA Prospects Line Drive Prospects Miami Phenoms Prodigy Sharks Blue Miami Springs River Sharks Miami Gamblers 100 MPH Club Blu Print Blue Devils Blue Jays Dynasty BB Hardball KSA Latinoamericana Line Drive Elite 11U Lion Mode MPB Black MPB White Phantoms Miami Springs Capitol Steelers Bad New Bears Elite Belen Clemente Dynasty BB Kachi Phenoms LHB MBA Miami Cubs Prodigy 100 MPH Club BluPrint Clemente Hardball Latinoamericana Miami Cubs Belen Blue Devils I AM United 12U Latinoamericana LHB Miami Yankees Platinum Miami Cubs Miami Lions BB Miami Phenoms Miami Yankees Prodigy SF Contenders South Dade Bluejays Training BB All Stars Belen Clemente Pirates Giants San Fernando Miami Cubs Miami Yankees Phenoms (Orly) SF Contenders South Dade Bluejays Training BB One Nation BB Miami Cubs Red Name used on Team: Email used for Team: *Player’s Name
*Player’s Date of Birth
Street Address: City: State/Province: Alabama
District of Columbia
Country: United States
Antigua and Barbuda
Bosnia and Herzegovina
Central African Republic
Congo, the Democratic Republic of the
Falkland Islands (Malvinas)
Holy See (Vatican City State)
Iran, Islamic Republic of
Korea, Democratic People's Republic of
Korea, Republic of
Lao People's Democratic Republic
Libyan Arab Jamahiriya
Macedonia, the Former Yugoslav Republic of
Micronesia, Federated States of
Moldova, Republic of
Northern Mariana Islands
Papua New Guinea
Saint Kitts and Nevis
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Sao Tome and Principe
Svalbard and Jan Mayen
Syrian Arab Republic
Taiwan, Province of China
Tanzania, United Republic of
Trinidad and Tobago
Turks and Caicos Islands
United Arab Emirates
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Zimbabwe Zip/Postal Code:
*School Attended and Grade
*Cell Phone Number:
*Home Phone Number:
MIAMI YOUTH BASEBALL ASSOCIATION, INC. – PARENTAL AUTHORIZATIONS AND RELEASES
PARENTAL PARTICIPATION AUTHORIZATION AND
All sports, including BASEBALL pose a risk of severe physical injury and/or illness to the participants, coaches, and spectators including, but not limited to, the exposure and possible contraction of communicable diseases (ie Covid-19), and being injured by obstacles or hazards in or around the playing surfaces and/or inherent to the game of baseball such as being injured by a batted or thrown ball, a baseball bat, or other projectile from the field, batting cages, stands, or other areas. CONCUSSION – HEAD INJURY NOTICE: A CONCUSSION is a potentially serious HEAD injury that can result in brain injury or death. Participation in baseball practices and competition (games) may result in a HEAD injury or CONCUSSION. If you suspect that the player has a CONCUSSION, he/she must be immediately removed from participation. A player should only return to play with permission and clearance from medical/health care professional, who is experienced in evaluating a CONCUSSION, the injury incurred or illness contracted. ADDITIONAL CONCUSSION information and resources are available on the MYBA website at MYBABASEBALL. TEAMPAGES. COM. I, the undersigned Parent/Guardian listed below, warrant that I am the parent or legal guardian of the Player listed above (the Player) and that I have authority to authorize these releases on behalf of the Player. For and in consideration of the Player being permitted to voluntarily participate in MIAMI YOUTH BASEBALL ASSOCIATION, INC league (including, but not limited to, any tournaments in which the Player participates (the Activity), and for other valuable consideration, the receipt of which is hereby acknowledged, on behalf of the Player, I voluntarily agree as follows: I give consent for the Player to participate in all MIAMI YOUTH BASEBALL ASSOCIATION, INC Activities, and to be rendered emergency medical treatment in the event of injury or illness and agree to be responsible for all costs associated with said treatment. In the event of a medical emergency resulting from an injury or illness, the instructors/coaches will endeavor to obtain medical treatment for the Player. The Releasees (defined below) can not assume responsibility for any act or omissions from third parties who are called to render treatment.
I hereby agree to defend, indemnify, waive, release, hold harmless, absolve, forever discharge, and covenant not to sue THE MIAMI YOUTH BASEBALL ASSOCIATION, INC., PERFECT GAME BASEBALL, USSSA BASEBALL, WORLD BASEBALL FOUNDATION, MARLINS TEAMCO LLC, MARLINS FUNDING LLC, MARLINS HOLDING LLC, MAJOR LEAGUE BASEBALL, CITY OF MIAMI, MIAMI DADE COUNTY, MIAMI DADE COUNTY PUBLIC SCHOOLS, CITY OF HIALEAH, CITY OF HIALEAH GARDENS, CITY OF DORAL, CITY OF HOMESTEAD, CITY OF MIAMI BEACH, CITY OF MIAMI LAKES, CITY OF MIAMI SPRINGS, TOWN OF CUTLER BAY, VILLAGE OF PALMETTO BAY, VILLAGE OF PINECREST, VILLAGE OF KEY BISCAYNE, MARY and DAVID ALPER JEWISH COMMUNITY CENTER, AND BOYS AND GIRLS CLUBS OF MIAMI DADE, ORGANIZERS, VOLUNTEERS AND PARTICIPATING TEAMS AND ACADEMIES and all of their respective past, present, and future related entities, parents, subsidiaries, affiliates, officers, directors, partners, owners, shareholders, members, governors, agents, representatives, contractors, subcontractors, servants, officials, employees, volunteers, participants, successors, assigns, right-holders, sponsors, insurers, and other licensees; participants; persons transporting the participants to a from activities; and any individual, group, organization or corporation under contract with THE MIAMI YOUTH BASEBALL ASSOCIATION, INC. (collectively, the “Releasees”), with respect to any and all causes of action, claims, losses, damages, obligations, liabilities, judgments, amounts paid in settlement, injuries, losses, costs, expenses (including, but not limited to, reasonable attorneys fees and expenses), and demands whatsoever, in law or in equity, which I or the Player ever had, now has, or shall or may have against said Releasees, or which any personal representative, executor, administrator, heir, next of kin, successor, or assign of myself or the Player hereafter can, shall, or may have, against all Releasees, arising out of or relating to the Player’s participation in the Activity, including, but not limited to the Player’s death.
PHOTO / VIDEO / LIVE STREAMING RELEASE
I hereby give permission to the use of the name, likeness, images, voice, recording, biographical information, and/or other identification of the Player or myself by the Releasees for any purpose, worldwide and in perpetuity, in any medium now known or hereafter devised, without a right to prior review or approval of such use by me or the Player and without compensation or any additional consideration due or owing to me of the Player.
CONSENT AND AUTHORIZATION ACKNOWLEDGEMENT
I hereby agree and consent to all of the aforementioned, and further acknowledge that this authorization is valid for the entire 2022 seasons, including and not limited to the SPRING and FALL LEAGUES, year round practices, and all TOURNAMENTS. I do have the right to withdraw this authorization at any time by providing written notice to the Miami Youth Baseball Association, Inc. at 10940 SW 134 Ter. Miami, Fl. 33176.
*Parent/Guardian Name: (By entering your name you hereby acknowledge and consent to the aforementioned MIAMI YOUTH BASEBALL ASSOCIATION, INC – PARTICIPATION AUTHORIZATION, MEDICAL, PHOTO/ VIDEO/ LIVE STREAMING RELEASES
MYBA -Safety Protocols and Guidelines – ( COVID-19) – Games and Practices
SAFETY PROTOCOLS AND GUIDELINES
Parents/Guardians will be required to pre-register their child on-line AND
MUST read, acknowledge, and approve their child’s participation while completing all waivers and releases.
MUST agree to follow the approved Rules, Regulations and Safety Protocols and Guidelines.
MUST Agree to follow all MYBA – Safety Protocols and Guidelines – (Covid-19) as may be implemented and required by State and Local Authorities, and follow the most recently updated CDC Guidelines.
CONSENT AND AUTHORIZATION ACKNOWLEDGEMENT
I hereby agree and consent to all of the aforementioned, and further acknowledge that this authorization is valid for the entire 2022 seasons, including and not limited to the SPRING and FALL LEAGUES, year round Practices, and all TOURNAMENTS. I do have the right to withdraw this authorization at any time by providing written notice to the Miami Youth Baseball Association, Inc. at 10940 SW 134 Ter. Miami, Fl. 33176.
*Parent/Guardian Name: (By entering your name below you hereby acknowledge and consent to the aforementioned MYBA – Safety Protocols and Guidelines – COVID 19 – Games and Practices
Parental/Guardian Code of Ethics
Code of Ethics
Registering my Child constitutes agreement with the following Code of Ethics, and I Agree to:
•Adhere to all MYBA policies, rules, regulations, and procedures
•Avoid inappropriate behavior (fighting/arguing/cursing)
-Any person who becomes unruly or uses abusive language towards players, umpires,
coaches, league officials, or other fans will be removed from the premises (including parking
-Any adult who gets in a physical altercation on or off the field, before or after a game or
practice, will be suspended indefinitely (a minimum of one year) from the league. If the
league deems the incident involved more than one individual, severe penalties may be
invoked up to and including removal of the team from the league with-out refund or
•Be responsible for any and all bills (medical and otherwise) resulting from any injury or illness to my son/daughter, resulting from their participation in any MYBA practice, game or event.
•Acknowledge the prohibition on alcohol or illegal substances anywhere in the park (including the parking lots).
•Observe the ban on smoking anywhere in the baseball complex.
•The prohibition on the use of air horns, bells, whistles, musical instruments, radios, banging on bleachers, or any other artificial noise making devices while in the baseball complex.
•Prohibition on coolers within the baseball complex
•Always be supportive and encourage all players on the team
•Avoid commenting negatively on the performance of players, coaches, umpires,
or other parents
•Serve as a good role model for my child and others
•Treat umpires with courtesy and respect
•After each game, have a positive attitude and show appreciation for the
importance of each player’s efforts
•Save problems or concerns for the right time by talking with a coach, umpire
coordinator, staff, or board member away from the game
•Support the MYBA and its efforts however I possibly can
I (We) hereby agree and consent to all of the aforementioned, and further acknowledge that this authorization is valid for the entire 2022 seasons, including and not limited to the SPRING and FALL LEAGUES, and all TOURNAMENTS. I do have the right to withdraw this authorization at any time by providing written notice to the Miami Youth Baseball Association, Inc. at 10940 SW 134 Ter, Miami, Fl. 33176
*Parent/Guardian Name: (By entering your name below you hereby acknowledge, consent, and agree to abide by the MIAMI YOUTH BASEBALL ASSOCIATION, INC. – PARENTAL/ GUARDIAN CODE OF ETHICS
Player’s Medical & Insurance Information
Please provide the Player’s Health Insurance Information – Name of Provider and Policy Number – If None, please indicate by writing
*Policy Provider/Carrier and Policy Number
*Allergies (If none – please state “ NONE”)