LA Dodgers Booster Club Membership Application

The Los Angeles Dodgers Booster Club is a non profit organization dedicated to: 1.) bringing the sport of

Baseball to the attention of sports lovers the world over; 2.) stimulating interest in the Los Angeles Dodgers ;

3.) providing information that is relative to the sport of Baseball; 4.) Raising funds to help support financially

strapped local Little League Teams; 5.) Making our youth more aware of this inspirational pastime.

Please Print - All items must be completed and signed where indicated, for all new members.

Please PRINT	Names ( * indicates Required Info)	Birthday** (mm/dd/yyyy)
* Name:	*
Name 2:	*
Name 3:	*
Name 4:	*
Address:	Phone:
If you have more than 4 family members to enroll, click here ** Year of birth required for members under 18
City	State: Zip:
* Email Address:	Occupation:
Please Indicate:	Willing to serve on the LADBC Board? Recruited by:
LA DODGERS BOOSTER CLUB INC. RELEASE AGREEMENT WAIVER 1. I, (we) as a member of the LA Dodgers Booster Club, Inc., (hereafter referred to as LADBC) agree as follows: LADBC, is a nonprofit corporation organized for the mutual enjoyment of its members in supporting the LA Dodgers Baseball Club. 2. LA DBC's activities include group transportation to/from baseball games, meetings, picnics, and other events. At these events LADBC may serve food and engage in group activities of various types. 3. I (we) understand that the activities of LADBC, would not be possible if the organization were to accept responsibility for injury to its members or losses its members might incur while participating in group activities, eating, travel or otherwise. 4. Therefore, I (we) agree to waive any claims that I now have, or ever may have, arising from my participation in LADBC, and to release and hold harmless DBC, together with its officers and directors, from any liability whatsoever for any injury or damage that I may sustain as a result of participating in events sponsored by LADBC. 5. This release agreement shall bind and apply to the benefit of my heirs, representatives, or estate and to the successors of LADBC.
Date digitally signed * I / we agree to all terms (required to join / same as signature on hardcopy form)
Need not be married, but must reside in the same household to qualify as member of household Individuals age 14 to 17 may join on their own as adult members, with parent / legal guardian written permission and sponsorship by another adult member, and must be supervised by a parent or consenting adult to participate in any / all LA Dodgers Booster Club activities.