North Carolina
Player Release Form

Click here for Pintable PDF file.

 
Before this form can be validated,

1. It must be filled out completely and signed by all requested parties;
2. It must be received in the State Youth Office on or before Thursday prior to a weekend's event;
3. It must be delivered to State Youth Office, 150 Maple Circle Salisbury NC 28146. 
4. The player must return all team uniforms, equipment, etc, as outlined in the NSA Roster Procedures.
5. Release forms can be turned in at tournament check in. The director in charge in turn will mail this form to NC State Youth Office.

I, ___________________________________, hereby request my unconditional release
   (Print Player's Name)

from the roster of ________________________________, classified as ______ (A, B or None).
                                (Old Team Name)

I will now be playing for _____________________________, classified as ______ (A, B or None).
                                           (New Team Name)

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Player's signature:___________________________________ Date:____________

Player's Birthdate _________________ Player's Phone No. _________________

Player's Address ____________________________________________________

Parent's signature:___________________________________ Date:____________

Old Manager's signature:______________________________ Date:____________

New Manager's signature:_____________________________ Date:____________

State Youth Director:_________________________________ Date:____________

By signing this form, the player and parent/guardian agree to the following:

In consideration of being permitted to participate in the N.S.A we hereby agree for ourselves, successors, heirs and assigns, to release and forever discharge the National Softball Association, Inc. (N.S.A.) their employees, officers and directors from all claims, actions or judgments we may have or claim to have against N.S.A. for all personal injuries, including death, and injuries to property, real or personal, caused by or arising out of our participation in the N.S.A., either leagues or tournaments. We further agree for ourselves, successors, heirs and assigns to indemnify and hold N.S.A. harmless from all claims and suits for personal injuries, including death, damages to property caused by our act of omission arising out of our participation in the N.S.A. and from all judgments recovered and from all expenses incurred in defending said claims or suits. We further agree that our photographs, pictures, slides or movies taken or made by N.S.A. their employees, officers and directors, in connection with our participation in the N.S.A.,either leagues or tournaments, or any reproduction of the same, as well as our name, may in any manner be used by N.S.A. or by any person, corporation or association authorized by N.S.A. The player is in good health and has no physical condition that would prevent her from participating in N.S.A. events.