Woodlands Baseball Academy

Concussion Protocol Document

Private Lessons

28611 Blue Jack Ln., Magnolia, Texas 77354

Electronic Signature of Parent/Guardian: *

Acknowledgement of Concussion Protocol Form and WBA Liability Form

Player(s) Name (List all Minor Participants - your children): *

Team/Coach's Name:

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I have read and received the Concussion Protocol Form and the Woodlands Baseball Academy Liability Form. I acknowledge for myself and any of the minors for which I am responsible that if anyone is hurt or my property damaged during our participation in any activity or while present at the premises located at 28611 Blue Jack Ln., Magnolia, Texas 77354, I/we may be found by a court of law to have waived my/our right to maintain a lawsuit against The Woodlands Baseball Academy, LLC, and/or any Coach who is teaching baseball at said facility on the basis of any claim from which I/we have released them herein. I/WE HAVE HAD SUFFICIENT OPPORTUNITY TO READ THE ENTIRE DOCUMENTS . I/WE HAVE READ AND UNDERSTOOD THE DOCUMENTS, AND I/WE AGREE TO BE BOUND BY ITS TERMS (Type "I Agree" in the Line Below). *

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ID (last 4 digits of Drivers License): *

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WBA Liability Form

Date and time *

Woodlands Baseball Academy

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Parent/Guardian(s) Name: *

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Centerfield3:51
Load Up The Bases (The Baseball Song)3:38
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Email: woodlandsbaseballacademy@gmail.com