Baseball League Registration Form

Hanford Babe Ruth 2023
Athlete Information
Player Name*

First NameLast Name
Date of Birth*

MonthDayYear
Date
Age*
Shirt Size (Adult sizes)*

SmallMediumLargeXL2XL3XL
Current School Attending*
Returners Only- Team Played on last year (2022 Season)
Guardian / Parents Names*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home Phone*

Area CodePhone Number
Cell Phone*

Area CodePhone Number
E-mail*
Guardian / Parents Names 2

First NameLast Name
Address Parent 2

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home Phone Parent 2

Area CodePhone Number
Cell Phone Parent 2

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

CoachVolunteer/Snackbar/Scorekeeper
Comments
Important Notes

$125 per athlete
Emergency Contact & Health Insurance Information
Emergency Contact's Name*

First NameLast Name
Relationship*
Phone Number*

Area CodePhone Number
Do you have health insurance ?*

YesNO
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?*

YesNo
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

CityState / Province

Postal / Zip Code
Phone Number

Area CodePhone 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*

YesNo
Confirmation E-mail*
Signature*

Clear
PLEASE CHECK THE WEBSITE FOR TRYOUT DATES

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

YOU MUST PICK AN OPTION BELOW

PAY IN PERSON AT TRYOUTS OR PAY BY CC NOW

My Products

Registration fee$125.00

Registration fee $125

Quantity
Item subtotal:$0.00

Subtotal $0.00Tax $0.00Total $0.00

Credit Card

Cash Payment

$125 will be due at tryouts
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