2023 Travel Baseball Registration Form

2023 Triad Red Dawgs Baseball - Registration Form

(age 12-14)

High Point, NC

Coach Larry Dow: (336) 989-3875

triadreddawgsbaseball@gmail.com

Triad Red Dawgs Baseball

Athlete Information

Player Name

First NameLast Name

Are you 14?

Date of birth

Guardian / Parents Names

First NameLast Name

Address

Street Address

Street Address Line 2

City

Postal / Zip Code

Home Phone

Area CodePhone Number

Cell Phone

Area CodePhone Number

E-mail

Baseball skill level

	1	2	3	4	5

1 is Begginer, 5 is Advanced

What positions does the player play?

Registration Fees

$500.00 Per Player

Fees cover:

· Team Uniform ( hat, pants, jersey, socks, belt)

· Team Expenses (practice field, indoor practices, team equipment, Spring and Summer tournament registration fees)

Tournament registration fees vary from $200-$500 per tournament. Player's will be expected to participate in fundraiser's.
Registration does not include transportation to tournaments.

$200.00 is due by March 10th to cover uniforms.

For payment plan options please contact team treasurer Tiffany Pettigrew at (336) 918-8297

Emergency Contact & Health Insurance Information

Emergency Contact's Name

First NameLast Name

Relationship

Phone Number

Area CodePhone Number

Do you have health insurance ?

Insurance Carrier

Name of Policy Holder

Subscriver ID/Group Number

Card Number / Card Date

Does you have any allergies, chronic illness, or medical conditions that would limit high level activtiy?

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

CityState / Province

Postal / Zip Code

Phone Number

Area CodePhone Number

Release of Liability

Although the safety of all sport activities is the primary concern, baseball activities 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 Triad Red Dawgs Baseball Organization and the persons in charge.

I have read and agree to the above conditions

Confirmation E-mail

Signature

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 triadreddawgsbaseball@gmail.com