BRUA Signup Form
Your Name:
Your Email Address:
Home Address:
Home Phone
Work Phone
Cell Phone or Pager
Comments:
DUES: $10.00 Paid to Treasurer Mark
Dolecki
I agree to abide by the rules and by-laws of the Baytown Recreational Umpires Association (BRUA). I
acknowledge that I have been given a copy of said rules and By-laws, have read and understand them.
I agree that the BRUA is not responsible for any injury or loss occurring from my participation and
membership with BRUA, including any injuries suffered performing umpiring duties. I agree to hold
BRUA harmless for any loss, cost, liability, or expense arising out of my participation and membership
with BRUA. I also represent that I am an independent contractor with respect to any services I may
perform for payment, or gratis, while a member of or while representing BRUA. Nothing herein shall
be construed to make me an employee of BRUA. I understand that as an independent contractor, I am
solely responsible for payment of all income or other taxes, contributions or insurance premiums,
Workers Compensation or other statutory or optional costs related to providing services for payment. I
agree that my failure to comply with the above or to pay any amounts owed when due may result in
termination of my membership.