2022 Travel Baseball Evaluation Registration
Player Information
Player's Name
*
First Name
Last Name
Player's Date of Birth
*
-
Month
-
Day
Year
Date
Desired Age Division For Spring 2021
*
U9: Ages 7-9 (player turns 9 after 4/30/21)
U11: Age 9-11 (player turn 11 after 4/30/21)
U13: Age 11-13 (player turns 13 after 4/30/21)
Evaluation Date (check all that apply)
Saturday, September 25, 2021...10am-11am
Sunday, September 26, 2021...4pm-5pm
Please describe your child's baseball experience to date:
Parental or Guardian Information
Parent or Guardian Name
*
First Name
Last Name
Phone Number
*
-
Area Code
Phone Number
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Emergency Contact Information
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Phone Number
*
-
Area Code
Phone Number
Waiver & Photo Release
*
By checking this box, I hereby give my approval for my child/children to participate in the Player Evaluations sponsored by Longmeadow Baseball Association ("LBA") or other related programs. I assume all risk and hazards in connection with my child's participation in this Program, and I do hereby waive, release, absolve indemnify and hold harmless the LBA, including each of its individual members, employees, coaches, volunteers, agents, and/or any other individual acting for or on its behalf, from any and all liability for any personal injury or property damage suffered by my child during or in the connection with the Program. I further agree to allow the LBA to use my child's image for promotional purposes, including marketing electronically and/or print form.
Covid 19 Waiver
*
By checking this box, I hereby attest to be the legal parent or guardian of the registering player. I am fully aware that there exists a risk to have direct or indirect contact with individuals who have been exposed to and/or diagnosed with one or more communicable diseases, including but not limited to COVID-19 or other medical conditions, diseases, or maladies, and/or any mutation or variation thereof does exist and it is impossible to eliminate the risk that I, my child [“the participant”], or any other individual that may be related to the participant, could become infected through contact with or close proximity to an individual with a communicable disease; therefore, I, for myself and on behalf of my child participant, my family, spouse, estate, heirs, executors, administrators, assigns, and personal representatives, hereby forever release, waive, discharge, and covenant not to take any legal action against the LBA, including each of its individual members, employees, coaches, volunteers, agents, and/or any other individual acting for or on its behalf. I have read and fully understand that my child’s qualification for participation in LBA activities is based on a full understanding of LBA policies, rules and current Safety Standards, which I will discuss with my child.
Submit
Should be Empty: