Miracle League Player Registration

2022 Miracle League Player Release Form

2022 Miracle League Player Release Form

Please fill out this information to register for the upcoming Miracle League season!

Address
Address
City
State/Province
Zip/Postal
Country
Example: January 7, 2019
Home/Cell phone
What dates will the player participate in Miracle League? Select as many as apply.
Check all that apply
Is in need of a "buddy"

Buddy Information

Please let us know if a family member intends to serve as the players buddy.
Will a member of the family serve as the buddy?
Mark only one

Buddy: Family Member Name

Please enter the name of the family member who will serve as the players buddy, and be sure to have that family member sign up to volunteer with our volunteer sign up form.

Publicity Release 2022 Miracle League Player Registration & Release Form

The Children's Center for Communication/Beverly School for the Deaf is a program that takes pride in using technological advances for educational purposes. These endeavors are often used to honor and promote the positive activities that occur on a daily basis. As part of standard practice, CCCBSD will use your child's image for internal media on a regular basis. CCCBSD defines internal media as photos/videos that can be viewed but are never shared externally as a hard copy or electronically (for example: photos in the classroom, classroom videos for shared experiences, photos/videos shown for events or presentations, etc.). Photos and videos are also used for purposes that require external media. CCCBSD defines external media as photos/videos that can be viewed and/or shared as a hard copy or electronically (e.g. Newspaper, annual reports, home notes, classroom photos emailed to families, YouTube, Facebook, etc.) CCCBSD will never post names of students to social media and websites. Only first names are given to newspapers. Parents will be notified if their child's likeness has been photographed for a newspaper article. If you have objections to your child being photographed or videoed for the purpose of external media please specify your objections below. (for example: All photos are fine. No video or All forms of media are okay but do not identify my child by name.)
Do you have any exceptions you would like to specify for external media?

Release Form

In consideration for the Miracle League of the North Shore providing the opportunity for my child to participate in Miracle League baseball, the undersigned does hereby release and agree to indemnify and hold harmless the Miracle League of the North Shore, and each of the officers, directors, members, managers, employees, donors, volunteers, agents, successors, assigns, and representatives, from any and all claims for personal injury, death, property damage, or any type of claim or damage (including but not limited to attorney fees or litigation expenses) resulting from my child's activities in connection with participation in the Miracle League of the North Shore baseball or the participation of any family member or guest of the undersigned.
Release Form Agree

External Media Exceptions

Please describe your external media exceptions here (i.e. all photos are fine, but no video, OR all forms of media are okay, but do not identify my child by name.)

Emergency Contact Information

Please fill out the following few questions to identify an emergency contact.

Electronic Signature or check box

CCCBSD does not take responsibility for images taken of your child by non CCC BSD staff members that may be published as external media (e.g. a photo video with your child's image in the background at school-wide events.). Further, I release CCCBSD, its Board of Trustees, employees, and other representatives from any known liabilities, known or unknown, arising out of the use of these materials.
I have read and fully understand all the above and hereby give my permission on all points from October 1, 2019 forward. While this permission form will be updated annually, it is understood that once external media is published it is impossible to guarantee that the material can be relinquished 100%.