Youth Baseball Sessions

S.U.N. Youth Baseball Sessions Registration Form!

Athlete Information

Player Name *

First Name Last Name

My child is years old

Shirt Size

Guardian / Parent Name *

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 *

Baseball skill level *

	1	2	3	4	5

1 is Beginner, 5 is Advanced

Emergency Contact & Health Insurance Information

Emergency Contact Name *

First Name Last Name

Relationship *

Phone Number *

Area Code Phone Number

Insurance Carrier

Do you have any allergies, chronic illness, or medical conditions that would limit high level activity? *

Yes No

Please describe *

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 Youth Sport Center's 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 Youth Sport Center and the persons in charge. I allow Candles In The S.U.N. the right to capture and publish photos and videos for the organizations use.

I have read and agree to the above conditions *

Yes No

Confirmation E-mail *

Signature *

Clear

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 DSingletary@CandlesInTheSUN.com.