City of Council Bluffs Adult Softball
Roster Form
Last Revised February 2020
Council Bluffs parks and Recreation
209 Pearl Street
Council Bluffs, IA 51501
712-890-5291
Date
Team Name
Season Spring/Summer Fall
League Sunday Men’s Sunday Co-ed Wednesday Men’s
Division C/D (Recreational) E (Competitive)
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Manager’s Name
Address
Phone
Email
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Assistant Manager’s Name
Address
Phone
Email
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In consideration of the acceptance of this team registration form, I do hereby forever release
and discharge the City of Council Bluffs, its agents and employees, and the instructor or any
person acting on his or her behalf from all claims and causes of action which I or my heirs,
executors, or assigns may now have or may hereafter have on account of property damage or
personal injury, including death, alleged to have been incurred by me as a direct or indirect
result of my participation in said program, including but not limited to any claims alleging
negligence on the part of any person, or any claim alleging injuries caused by a defect in any
property used in conjunction with said program, whether or not said property is owned by the
City of Council Bluffs.
Manager’s Signature:
As
sistant Manager’s:
click to sign
signature
click to edit
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click to sign
signature
click to edit
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