top of page
416838779_17921730329831746_5595625409958389975_n.jpg

The 2025 season is here

Complete and submit this form to join the SRQ Kickball League.

Kickball Season Sign Up

What size shirt do you wear?
Which type of shirt would you like?
Rate your kickball experience from 0-10

You can list up to 3 others whom you'd like to have on your team. Each of these individuals must also submit this same form. Please list their full names separated by a comma.

Waiver and Release of Liability


In consideration of being allowed to participate in any way in SRQ Kickball LLC, related events and activities, the participant acknowledges, appreciates, and agrees that:


1) The risk of injury from the activities involved in this program is significant, and while particular rules, equipment, and personal discipline may reduce this risk, the risk of serious injury does exist; and,


2) I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume full responsibility for my participation; and,


3) I willingly agree to comply with the stated and customary terms and conditions for participation. If, however, I observe any unusual significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the nearest official immediately; and,


4) I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE AND HOLD HARMLESS SRQ Kickball LGBTQ League their officers, officials, agents, and/or employees, other participants, volunteers, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors of premises used to conduct the pre-game, recreation, play, or post-game events (“RELEASEES”), WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, or loss or damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, to the fullest extent permitted by law in correction with (A) my participation in the sport of kickball, or (B) my attendance at any social event or gathering that may be organized, authorized, or paid for by the RELEASEES, individual kickball players, or any league or division organized under the RELEASEES or their rules, including but not limited to “happy hours”, bar functions, and any pre-game or post-game events or gatherings.


5) I, hereby consent to the use by SRQ Kickball LLC including it’s agents, assigns and licensees of my name, photo, likeness or film, videotape and/or sound recording of me (collectively, hereinafter referred to as “Information”) to promote or publicize SRQ Kickball LLC’s business both internally and externally. I hereby release SRQ Kickball LLC from any and all liability for using the Information and waive all claims and cause of action against SRQ Kickball LLC arising from the use of the Information.


I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY FOR THE OPPORTUNITY TO PARTICIPATE IN KICKBALL.


Payment Collection

All money collected will go to the ordering of shirts, game equipment, umpires, and supplies specifically for use of the players. $75 will cover the cost for the 2025 Spring and Fall seasons.


Your credit card will be charged: $75.00

We never store your card number or CVC number

Are you interested in volunteering with SRQ Kickball in other ways?
Yes
No
We need your help!

Select as many roles that interest you, and we will be in touch.

bottom of page