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 2025 PLAYER REGISTRATION

PLEASE CHOOSE PAYMENT OPTION

PLEASE CHOOSE PAYMENT OPTION

ACH/CREDIT CARD PAYMENT AUTHORIZATION

IMPORTANT PLEASE READ: Please fill out either your credit card information or your bank account information below. All information will be stored securely following all PCI requirements. One-time payments can be made on 413Panthers.com >Contact US>Make Payment. Payment plans require a credit card or bank account information. If you choose the player sponsor option, please download and return the sponsorship form from 413Panthers.com>Sponsorships>Sponsorship Form.

BILLING DETAILS

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CREDIT CARD INFORMATION

CREDIT CARD TYPE

BANK INFORMATION

BANK ACCOUNT TYPE

I understand that this authorization will remain in effect until the entire player fee amount is satisfied. I agree to notify 413 Panthers in writing of any changes in my account information. If the above-noted payment dates fall on a weekend or holiday, I understand that the payments may be executed on the next business day. For ACH debits to my checking/savings account, I understand that because these are electronic transactions, these funds may be withdrawn from my account as soon as the above-noted periodic transaction dates. In the case of an ACH Transaction being rejected for Non-Sufficient Funds (NSF) I understand that the merchant may at its discretion attempt to process the charge again within 30 days, and agree to an additional $25 charge for each attempt returned NSF which will be initiated as a separate transaction from the authorized recurring payment. I acknowledge that the origination of ACH transactions to my account must comply with the provisions of U.S. law. I certify that I am an authorized user of this credit card/bank account and will not dispute these scheduled transactions with my bank; so long as the transactions correspond to the terms indicated in this authorization form.

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RELEASE OF LIABILITY

In exchange for participation in the activity of Travel Softball organized by 413 Panthers, and/or use of the property, facilities, and services of 413 Panthers, I agree for myself and (if applicable) for the members of my family, to the following:

 

Agreement To Follow Directions. I agree to observe and obey all posted rules and warnings, and further agree to follow any oral instructions or directions given by 413 Panthers, or the employees, representatives, or agents of 413 Panthers.

 

Assumption of the Risks and Release. I recognize that there are certain inherent risks associated with the above-described activity and I assume full responsibility for personal injury to myself and (if applicable) my family members, and further release and discharge 413 Panthers for injury, loss, or damage arising out of my or my family's use of or presence upon the facilities of 413 Panthers, whether caused by the fault of myself, my family, 413 Panthers or other third parties.

 

Indemnification. I agree to indemnify and defend 413 Panthers against all claims, causes of action, damages, judgments, costs, or expenses, including attorney fees and other litigation costs, which may in any way arise from my or my family's use of or presence upon the facilities of 413 Panthers.

 

Fees. I agree to pay for all damages to the facilities of 413 Panthers caused by any negligent, reckless, or willful actions by me or my family.

   

Medical Authorization. In the event of an injury to the above minor during the above-described activities, I give my permission to 413 Panthers or to the employees, representatives, or agents of 413 Panthers to arrange for all necessary medical treatment for which I shall be financially responsible. This temporary authority will begin on September 1, 2024 and will remain in effect until terminated in writing by the undersigned or August 31, 2025, whichever occurs first. 413 Panthers shall have the following powers:

 

a)      The power to seek appropriate medical treatment or attention on behalf of my child as may be required by the circumstances, including without limitation, that of a licensed medical physician and/or a hospital; 

 

b)      The power to authorize medical treatment or medical procedures in an emergency situation; and

 

c)      The power to make appropriate decisions regarding clothing, bodily nourishment and shelter

 

 

Applicable Law. Any legal or equitable claim that may arise from participation in the above shall be resolved under Massachusetts law.

 

No Duress. I agree and acknowledge that I am under no pressure or duress to sign this agreement and that I have been given a reasonable opportunity to review it before signing. I further agree and acknowledge that I am free to have my own legal counsel review this agreement if I so desire. I further agree and acknowledge that 413 Panthers has offered to refund any fees I have paid to use its facilities if I choose not to sign this agreement.

 

Arm's Length Agreement. This agreement and each of its terms are the product of an arm's length negotiation between the Parties. In the event any ambiguity is found to exist in the interpretation of this agreement or any of its provisions, the Parties, and each of them, explicitly reject the application of any legal or equitable rule of interpretation which would lead to a construction either "for" or "against" a particular party based upon their status as the drafter of a specific term, language, or provision giving rise to such ambiguity.

 

Enforceability. The invalidity or unenforceability of any provision of this agreement, whether standing alone or as applied to a particular occurrence or circumstance, shall not affect the validity or enforceability of any other provision of this agreement or of any other applications of such provision, as the case may be. Such invalid or unenforceable provision shall be deemed not to be a part of this agreement.


I UNDERSTAND THAT BY SIGNING THIS RELEASE, I VOLUNTARILY SURRENDER CERTAIN LEGAL RIGHTS.

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PLAYER INFORMATION

DOB
Month
Day
Year

PLAYER SHIRT SIZE

SIZE
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