Baseball League Registration Form
Name of Athlete
First Name
Last Name
Date of Birth
-
Month
-
Day
Year
Date
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Preferred Position
Pitcher
Catcher
INF
OF
UT
2nd Position
Pitcher
Catcher
INF
OF
UT
Name of School
*
Grad Year
*
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
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GPA
*
Emergency Contact Information
Name of Emergency Contact
First Name
Last Name
Phone Number
-
Area Code
Phone Number
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Relation to Athlete
Player Email
*
example@example.com
Submit
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Confirmation
Emergency Treatment Parental Consent
I give my express and full permission to have my child treated by any qualified medical personnel, in case of any circumstance that such attendance be so required to do the following:
To secure necessary emergency medical care for my child.
Name of Doctor
First Name
Last Name
Medical Care Facility
Waiver
I am aware that any physical sport activity may cause accidental injury or harm among the athletes, and I assume any and all possible risk that may cause injury, illness, or death arising to such activity. I agree to waive my right to pursue any claim against the Commission and the Organizing Committee of this event.
Signature of Parent / Guardian
Name
First Name
Last Name
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Should be Empty: