2021 Registration Form - Adult Player - 21U (Flesherton Minor Baseball)

Print 2021 Registration Form - Adult Player - 21U
FMB Specific Information
Note: Extra Uniform fees and tournament fees to be paid on top of registration fee. Tournament fees will be determined by individual coaches, dependent on the number of tournaments.
  1. This form allows for single player/participant registrations
  1. Payment Requirements for 2021

    Due to the current pandemic, we will not be asking for payment at this time.  A notice will be posted on the website when we are assured of a start date and at that time payment will be required before taking the field.
    We do require players to register now so we can begin planning to schedule teams, recruit coaches and be sure we have uniforms and equipment.

    Payment of player registration fees will be by e-transfer via an online payment form that will be made available at that time. 

    Anyone registered after APRIL 18 will be placed on a waiting list and will only be accepted if space permits.

    The lists 2021 rates are based on having a full season.  If we are forced to have a shorter season then rates will be adjusted lower.
Player Information
  1. Example: [email protected] Your submission will be sent to this address.
  2. (eg. 1234567890)
  3. Fill in Street Number and Name in this field. Or Fire Number and Road.
  4. Fill in Apartment Number or Box Number in this field. If neither apply, fill in N/A.
Volunteer Opportunities
Our organization is run by volunteers. Are you interested in lending a hand or "PITCHING IN"? Regardless of how little or a lot of time you can spare, we welcome positive role models to make baseball fun. Be part of your child's team's activities.

  1. Check All That Apply
  2. If email address entered here, a copy of this submission will be sent to this address.

    To improve our communications and service we would like to correspond with you via email. In order to comply with Canadian legislation relating to commercial electronic messages, we are seeking your consent to communicate with you via electronic messages, including email, related to your relationship with Baseball Ontario including team selection, program, membership, promotional materials and other Baseball Ontario information. You may choose not to receive these communications at any time by emailing us at [email protected]
  2. Privacy Policy:

    Baseball Ontario Privacy Policy

    I hereby grant permission to Flesherton Minor Baseball Association (FMB) to use the name and limited personal information of the participant indicated on this form, and also team and action photographs including myself, in print and in electronic media.  Such photographs, may be used by FMB in publications, including, but not limited to, newspapers, brochures, and the website of WOBA for publicity purposes.  No other personal information (i.e., address, phone number, school) will be disclosed.  FMB is committed to protecting the privacy of your personal information.  The Undersigned understands that once the photograph is posted on the website, the image can be downloaded by any computer user and specifically waives his/her rights and protection pursuant to provisions of the Personal Information Protection Electronic Documents Act.

    I confirm and provide permission to FMB to providing and updating Western Ontario Baseball Association (WOBA) with the email address(es) printed on this form.  Email addresses may be used by FMB and WOBA for the purpose of provided baseball related information which includes announcements, promotions, schedules, and rule updates, and tryout opportunities.  By not signing this section you will not receive email notices as described herein.

  3. Dual Registration:

    By completing this form, you are registering with both Flesherton Minor Baseball Association (FMB) and Baseball Ontario. 

    Baseball Ontario appoints Flesherton Minor Baseball to collect fees on its behalf, included in the registration fee collected through this process. No additional monies are charged to the participant registering locally. Baseball Ontario invoices FMB for fees collected
  4. 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 Flesherton Minor Baseball Association (FMB) 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 FMB 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 FMB 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, FMB and the other persons noted above does not preclude myself from making a claim under any sports accident coverage provided by Baseball Ontario and/or FMB to their players.  An overview of the current sports accident coverage provided by Baseball Ontario can be found at:

    Microsoft Word - OBA Insurance Renewal Program 2020-2021 (baseballontario.com)
  5. Refund Policy:

    Refund's will be decided on a case by case basis by the FMB Executive.
  6. Rowan’s Law:

    Under Rowan's Law, before any player can be registered with the local association and Baseball Ontario, the player, and the parent or legal guardian of the player if the player is under 18 years of age, must review one of the Concussion Education Resources provided by the Province of Ontario and must review the Player Code of Conduct. Links to these resources are provided here and will open in a separate window:

    Province of Ontario Concussion Education Resources:

    Baseball Ontario Player Code of Conduct:
    Flesherton Minor Baseball has adopted (2020) the Baseball Ontario player code of conduct as its own.  The following link is made available to the registrant.  Please review.

    Rowan's Law Acknowledgement:

    I hereby confirm that the player being registered to participate in baseball activities with the local association and Baseball Ontario, and the parent or legal guardian of the player being registered if the player 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 player code of conduct as referenced above. I / we further acknowledge understanding the nature and risk of concussion and head injury to athletes, including the risks of continuing to play after a concussion or head injury is suspected.
  7. Photo Consent:

    I authorize Flesherton Minor Baseball Association (FMB) and/or its staff, associates, assistants, or subcontractors to use photograph(s), video and other media image provided for any FMB promotional, educational or other pertinent uses. I also agree to FMB using any images of the named participant gathered by photographers, and or videographers supplying images to FMB.

    These images may include, but are not exclusive to, club, coach, athlete and/or parent, and/or volunteer submissions by various member associations of FMB.

    I authorize FMB to permit the use and display of photographs and/or recordings of the named participant in any FMB publication, multimedia production, including video and web usage, display, or advertisement.

    I agree that FMB may use name, likeness, or information supplied by the undersigned.

    The undersigned releases and forever discharges FMB and its officers and employees from any and all claims and demands arising out of or in connection with the use of said photographs / recordings, including but not limited to, any claims for invasion of privacy or defamation.
  8. NOTE:  In addition to Baseball Ontario's Compliance of Waivers and Policies which are listed above, you will be required to also complete PART 4; the Covid forms--Release of Liability, Waiver of Claims and Indemnity Agreement which are required for completion prior to all baseball activities.  These are located below on this form.

    Players are encouraged to download the OnDeck App either on desktop or phone for tracking purposes during the season.

    You will be requested to electronically complete these covid forms again at that time.

    Cover art 

    OnDeck App: Baseball Ontario ONDeck 
2021 Covid Waivers -
(To be executed by Parents/Guardians of Participants/Players, who are 17 years old and younger) WARNING! Please read carefully! By signing this document, you will waive certain legal rights – including the right to sue
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  1. Covid-19 Declaration - Adult Participants 18 and over

    Note: The Declaration of Compliance - Covid-19  link MUST be completed before checking acknowledgment.


    (The answer to "5. Select your Affiliate (Region/Territory)" is Western Ontario Baseball Association (WOBA)).

    1. This is a binding legal agreement. Clarify any questions or concerns before signing. Prior to participating, an individual who is younger than the age of majority and who wants to participate in the sport of baseball and the activities, programs, classes and services provided by, and/or in the events sponsored or organized by Baseball Ontario and its affiliated associations, local associations, clubs, and leagues which may include but is not limited to: competitions, tournaments, practices, training, personal or strength training, dry land training, training using machines or weights, nutritional and dietary programs, orientational or instructional sessions or lessons, and aerobic and anaerobic conditioning programs (collectively the “Activities”) must have their legal parent/guardian (“the Parties”) acknowledge and agree to the terms outlined in this agreement.

    2. Baseball Ontario and its affiliated associations, local associations, clubs, leagues and their respective Directors, Officers, committee members, members, employees, coaches, volunteers, officials, participants, agents, sponsors, owners/operators of the facilities in which the Activities take place, and representatives (collectively the “Organization”) are not responsible for any injury, property damage, death, expense, loss of income, damage or loss of any kind suffered by the Participant during, or as a result of, the Activities.
  3. Description and Acknowledgement of Risks

    3. The Parties understand and acknowledge that:
    a) The Activities have foreseeable and unforeseeable inherent risks, hazards and dangers that no amount of care, caution or expertise can eliminate, including without limitation, the potential for serious bodily injury, permanent disability, paralysis and loss of life
    b) The Organization may offer or promote online programming (such as webinars, remote conferences, workshops, and online training) which have different foreseeable and unforeseeable risks than in-person programming
    c) The Organization has a difficult task to ensure safety and it is not infallible. the Organization may be unaware of the Participant’s fitness or abilities, may give incomplete warnings or instructions, may misjudge weather or environmental conditions, and the equipment being used might malfunction
    d) (COVID-19) The COVID-19 disease has been declared a worldwide pandemic by the World Health Organization and COVID-19 is extremely contagious. The Organization has put in place preventative measures to reduce the spread of COVID-19; however, the Organization cannot guarantee that the Participant will not become infected with COVID-19. Further, participating in the Activities could increase the Participant’s risk of contracting COVID-19

    4. The Participant is participating voluntarily in the Activities. In consideration of that participation, the Parties hereby acknowledge that they are aware of the risks, dangers and hazards and may be exposed to such risks, dangers and hazards. The Parties understand that the Organization may fail to safeguard or protect the Participant from the risks, dangers and hazards of the Activities, some of which are listed below. The risks, dangers and hazards include, but are not limited to:
    a) Health: executing strenuous and demanding physical techniques; physical exertion; overexertion; stretching; dehydration; fatigue; cardiovascular workouts; rapid movements and stops; lack of fitness or conditioning; traumatic injury; sprains and fractures, spinal cord injuries, bacterial infections; rashes; and the transmission of communicable diseases, including viruses of all kinds, COVID-19, bacteria, parasites or other organisms or any mutation thereof
    b) Premises: defective, dangerous or unsafe condition of the facilities; falls; collisions with objects, fences, sprinklers, equipment or persons; dangerous, unsafe, or irregular conditions the grass, diamond, or other surfaces; extreme weather conditions and lightning; and travel to and from the premises
    c) Use of equipment: mechanical failure of the equipment; negligent design or manufacture of the equipment; the provision of or the failure by the Organization to provide any warnings, directions, instructions or guidance as to the use of the equipment; failure to wear safety or protective equipment; and failure to use or operate equipment within the Participant’s own ability
    d) Contact: contact with fences, bleachers, the ground, bases, bats, balls, other equipment, vehicles, or other persons; and other contact that may lead to serious bodily injury, including but not limited to concussions and/or other brain injury or serious spinal injury
    e) Advice: negligent advice regarding the Activities
    f) Ability: failing to act safely or within the Participant’s own ability or within designated areas
    g) Sport: the sport of baseball and its inherent risks, including but not limited to being hit by the ball or a bat, injuries incurred while running or sliding, collision with umpires or other participants, slipping on or tripping over a base, and entering or leaving the dugout area, bullpen, batting cage, or bleachers
    h) Cyber: privacy breaches; hacking; and technology malfunction or damage
    i) Conduct: the Participant’s conduct and conduct of other persons including any physical altercation between participants
    j) Travel: travel to and from the Activities
  4. Terms
    5. In consideration of the Organization allowing the Participant to participate in the Activities, the Parties agree:
    a) That when the Participant practices or trains in their own space, the Parties are responsible for the Participant’s surroundings and the location and equipment that is selected for the Participant
    b) That the Participant’s mental and physical condition is appropriate to participate in the Activities and the Parties assume all risks related to the Participant’s mental and physical condition
    c) To comply with the rules and regulations for participation in the Activities
    d) To comply with the rules of the facility or equipment
    e) That if the Participant observes an unusual significant hazard or risk, the Participant will remove themselves from participation and bring their observations to a representative of the Organization immediately
    f) The risks associated with the Activities are increased when the Participant is impaired and the Participant will not participate if impaired in any way;
    g) That it is their sole responsibility to assess whether any Activities are too difficult for the Participant. By the Participant commencing an Activity, they acknowledge and accept the suitability and conditions of the Activity
    h) That they are responsible for the choice of the Participant’s safety or protective equipment and the secure fitting of that equipment
    i) (COVID-19) That COVID-19 is contagious in nature and the Participant may be exposed to, or infected by, COVID-19 and such exposure may result in personal injury, illness, permanent disability, or death

    6. In consideration of the Organization allowing the Participant to participate, the Parties agree:
    a) That the Parties are not relying on any oral or written statements made by the Organization or their agents, whether in brochure or advertisement or in individual conversations, to agree to participate in the Activities
    b) That the Organization is not responsible or liable for any damage to the Participant’s vehicle, property, or equipment that may occur as a result of the Activities
    c) That this Agreement is intended to be as broad and inclusive as is permitted by law of the Province of Ontario and if any portion thereof is held invalid, the balance shall, notwithstanding, continue in full legal force and effect

    7. The Parties agree that in the event that they file a lawsuit against the Organization, they agree to do so solely in the Province of Ontario and they further agree that the substantive law of the Province of Ontario will apply without regard to conflict of law rules. 
  5. Acknowledgement
    8. The Parties acknowledge that they have read this agreement and understand it, that they have executed this agreement voluntarily, and that this Agreement is to be binding upon themselves, their heirs, their spouses, guardians, next of kin, executors, administrators and legal or personal representatives.

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Printed from fleshertonminorball.ca on Friday, April 16, 2021 at 3:55 PM