Board of County Commissioners, Broward County, Florida
Community Services Department
Parks and Recreation Division
ADULT ATHLETIC LEAGUE PARTICIPATION AGREEMENT
Park:
League Name:
Day of Week:
Team Captain Name:
Team Captain Phone:
Team Captain E-mail:
Date Form Completed: Month:
Year:
(County staff must retain this form for four (4) years
RELEASE, INDEMNITY, AND WAIVER OF LIABILITY
NOTICE: This form contains a release, indemnity, and waiver of liability and when signed is a contract with legal consequences. Please read
it carefully before signing your name.
TO BROWARD COUNTY: In consideration of the opportunity afforded to me to participate in the activity described herein, I, the undersigned
participant freely agree to and make the following contractual representations and agreements.
I, the undersigned participant, acknowledge and understand that participation in the activity described herein may result in permanent
damage or injury to me due to the inherent nature of the activity.
I, the undersigned participant, do hereby knowingly, freely, and voluntarily assume all risk and liability for any damage or injury that may occur
as a result of my participation in the activity and agree to release, waive, discharge, and covenant not to sue Broward County, its officers,
agents, employees, and volunteers (all for the purposes herein referred to as “Releasees”) from any and all liability or claims that may be
sustained by me or a third party directly or indirectly in connection with, or arising out of, the use of the Park facility as described herein,
whether caused in whole or in part by the negligence of Broward County or the Releasees. I, further agree to indemnify and hold
harmless the Releasees with respect to any and all liability, including all fees, costs, expenses, and attorney’s fees, resulting from
losses sustained by third parties, arising out of my actions or alleged actions in connection with my participation in the activity
described herein.
I, agree that I have read this form, fully understand its terms, and understand that I, on behalf of myself, have given up substantial rights by
signing it and have signed it freely and without any inducement or assurance of any nature and intend it to be a complete and unconditional
release of any and all liability to the greatest extent allowed by law and agree that, if any portion of this contract is held to be invalid, the
balance notwithstanding shall continue in full legal force and effect.
CODE OF CONDUCT
I, the undersigned participant, agree to abide by all Amateur Softball Association rules, regulations and the Broward County
Athletic Team Code of Conduct while participating in the Broward County Parks and Recreation program listed in this document.
Code of Conduct
1. No participant shall lay a hand upon, shoving, striking, or spiting upon an official, player, or spectator.
2. No participant shall physically or verbally attack as an aggressor upon any player, official, or spectator.
3. No participant shall make derogatory remarks or cursing directed at an official, player, or spectator.
4. No participant shall show an objectionable demonstration of dissent at official’s decision.
5. No participant shall discuss the decision reached by such official, except the team captain.
6. No participant shall leave a dugout onto the field of play to confront or argue with an official, player, or spectator.
7. No participant shall refuse to abide by official’s decisions. Officials are required to immediately suspend the player from
further play and report such player to the League Coordinator. Such player shall remain suspended until the League
Coordinator has considered the player’s case.
8. No participant shall make threats directed toward an official, player, or spectator.
9. No participant shall consume or possess an alcoholic beverage, illegal substances, or be under the influence of alcohol
or illegal substances while on the field of play or during a scheduled game.
PLAYER NAME/SIGNATURE AND PLAYER ID CHECK BY COUNTY STAFF
TYPE FIRST AND LAST
NAME
SIGNATURE
ID
Check
TYPE FIRST AND LAST
NAME
1.
16.
2.
17.
3.
18.
4.
19.
5.
20.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
Form 501-124
SIGNATURE
ID
Check