Baseball League Registration Form

Hanford Babe Ruth 2022
Athlete Information
Player Name *

First Name Last Name
Date of Birth *

Month Day Year
Date
Age *
Shirt Size (Adult sizes) *

Small Medium Large XL 2XL 3XL
Current School Attending *
Guardian / Parents Names *

First Name Last Name
Address *

Street Address

Street Address Line 2

City

Postal / Zip Code
Home Phone *

Area Code Phone Number
Cell Phone *

Area Code Phone Number
E-mail *
Guardian / Parents Names 2

First Name Last Name
Address Parent 2

Street Address

Street Address Line 2

City

Postal / Zip Code
Home Phone Parent 2

Area Code Phone Number
Cell Phone Parent 2

Area Code Phone Number
Interested in Volunteering while your team is not playing?

Coach Volunteer/Snackbar/Scorekeeper
Comments
Important Notes

There is a $40 fundraiser included in each player's registration.

( 4 x $10 dinner tickets) Tickets can be sold to recover the $40

The total fee for registration is $165 per athlete.
Emergency Contact & Health Insurance Information
Emergency Contact's Name *

First Name Last Name
Relationship *
Phone Number *

Area Code Phone Number
Do you have health insurance ? *

Yes NO
Insurance Carrier *
Name of Policy Holder *
Subscriber ID/Group Number *
Card Number / Card Date
Does you have any allergies, chronic illness, or medical conditions that would limit high level activtiy? *

Yes No
Please describe (If none put N/A) *
Parental Permission For Emergency Treatment In the event of illness or accident, I give my permission for emergency treatment by qualified medical personnel for my child, and I authorize the person in charge to take my child to: I give consent for the facility to secure any and all necessary emergency medical care for my child.
Name of Physician / Emergency Medical Care Facility
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Phone Number

Area Code Phone Number
Release of Liability Although the safety of all sport activities is the primary concern, indoor sport activities at Hanford Babe Ruth facilities may cause injuries and/or death. I expressly assume the risk of injury, death, and/or illness arising from any cause, and agree to waive the right to pursue any claim against the Hanford Babe Ruth and the persons in charge.
I have read and agree to the above conditions *

Yes No
Confirmation E-mail *
Signature *

Clear
After completing this form, please click Submit Form. You will receive a confirmation email. If you do not receive the email within a few minutes, please check your spam; otherwise, please contact us at hanfordbaberuth@gmail.com

PLEASE CHECK THE WEBSITE FOR TRYOUT DATES

You can pay by Credit Card online or Cash in person at tryouts

Registration Fee:

Registration fee $ 165.00

Registration fee $125 Fundraiser tickets $40 ($10 X 4)

Quantity
Item subtotal: $ 0.00

Subtotal $ 0.00 Tax $ 0.00 Total $ 0.00

Credit Card

Cash Payment

$165 will be due at tryouts
Should be Empty:

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