2022 Coach/Volunteer/Umpire/Director Acknowledgements (Lucan-Ilderton Baseball)

Print 2022 Coach/Volunteer/Umpire/Director Acknowledgements

Information

Primary Role with LIMBA^*
Secondary Role with LIMBA^*
First Name^*
Last Name^*
Phone Number^*

Example: ###-###-####
Email Address^*

Example: [email protected] Your submission will be sent to this address.
Email Address (confirmation)^*

Example: [email protected] Your submission will be sent to this address.
Street Address^*
Suite Number
City^*
Postal Code^*

Liability Waiver:

On behalf of myself, I recognize that baseball entails serious risks. Consequently, except as noted below, I relinquish all rights to a claim of any kind, including the right to a claim for bodily and material damages, regardless of the cause, against Baseball Ontario, its member associations, including Lucan-Ilderton Minor Baseball Association and their respective officers, employees, coaches, umpires, assignees, agents, representatives, and sponsors, even if such damages result from negligence of Baseball Ontario, its member associations, including Lucan-Ilderton Minor Baseball Association and their respective officers, employees, coaches, umpires, assignees, agents, representatives, and sponsors.

Without restricting the generality of the preceding, I also relinquish the right to any claim against Baseball Ontario, its member associations, including Lucan-Ilderton Minor Baseball Association and their respective officers, employees, coaches, umpires, assignees, agents, representatives, and sponsors resulting from a decision on their part, regardless of the nature of this decision.

This release of Baseball Ontario, Lucan-Ilderton Minor Baseball Association the other persons noted above does not preclude myself from making a claim under any sports accident coverage provided by Baseball Ontario and/or Lucan-Ilderton Minor Baseball Association to their players, coaches, volunteers, umpires and Directors. An overview of the current sports accident coverage provided by Baseball Ontario can be found at https://www.baseballontario.com/Search/Search.aspx?keyword=insurance.

I agree to the terms and conditions stated above^*
Rowan’s Law:

Under Bill 193, Rowan's Law (Concussion Safety), a sport organization shall not permit an individual to serve as a coach for the sport organization or to serve in any other prescribed position, such as an official, in respect of the sport organization unless the individual gives the sport organization confirmation that they have reviewed the concussion awareness resources at the prescribed times and in accordance with the prescribed requirements.

LIMBA requires all coaches, volunteers, umpires and Directors to review the Concussion Education Resources provided by the Province of Ontario and the relevant Baseball Ontario code(s) of conduct associated with your role(s). Links to these resources are provided here and will open in a separate window:

Province of Ontario Concussion Education Resources:
https://www.ontario.ca/page/rowans-law-concussion-safety

Coach_Volunteer_Code_of_Conduct.pdf
Umpire_Code_of_Conduct.pdf
Concussion_Managemet_Protocol.pdf

Rowan's Law and Code of Conduct Acknowledgement:

I hereby confirm that coach/volunteer/umpire/director completing this form and the parent or legal guardian if said person is under 18 years of age, have reviewed one of the concussion education resources provided by the Province of Ontario as referenced above and have reviewed the relevant code(s) of conduct and concussion management protocol as referenced above.

I confirm that I/we have reviewed the information appropriate for my role with LIMBA^*