We the above signed and the undersigned, hereby state that the player's listed on this roster are voluntary participants in the above stated program, which is sanctioned by the United States Specialty Sports Association (USSSA). In consideration of the acceptance by USSSA of this application to participate in said program, I do hereby release and forever discharge the USSSA and USSSA Henderson Nevada Division from any and all liabilities, claims, actions and possible causes of action whatsoever that may accrue to me or to my heirs from every and any loss or damage and injury including death, that may be sustained by my person or property while in, at, or on route into and away from said program. AND
  Whereas, the above signed and undersigned is aware of the dangerous nature of his undertaking as it relates to loss of life and/or limb. Therefore, it is agreed as follows: That in consideration of being allowed to participate in said program, the undersigned hereby voluntarily assumes all risks from accident or damage to person or property and hereby releases the USSSA and USSSA Henderson Nevada division from every claim, liability or demand of any kind for or on account of any personal injury or damage of any kind for or on account of any personal injury or damage of any kind sustained or caused by negligence of the USSSA, USSSA Henderson Nevada, its sponsors or otherwise.
    Manager's VERIFICATION: This is to certify that this roster does not include any assumed names and that all players conform to the eligibility rules governing USSSA Baseball

Manager's Signature____________________________________________________ Date____________________