Bellefonte Teener Baseball Club Registration Form

BELLEFONTE TEENER BASEBALL CLUB (BTBC) - PLAYER REGISTRATION

2026 SEASON
PLAYER INFORMATION:

Age 13-16yr (Age as of May 1st) & (12yr olds that have aged out of a younger league)

Fee: $150 per Player ($130 per additional sibling)

**Centre County Babe Ruth- Open to any player living in Centre County**
Player Name*

First NameLast Name
Player Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
YesNo
If answered YES above, please describe*
Birth Date*

MonthDayYear
Date
NoneLittle LeagueTeener/Junior HighTravel
None1-2yrs3-4yrsMore than 4yrs
YesNo
Elks #1094Lion Country KiaMoose #206Pizza MiaDid Not Play
1st Base/3rd BaseMiddle InfieldOutfieldCatcherPitcher
YMYLAXSASAMALAXLAXXL
Jersey Number
Choice 1
Choice 2
Choice 3
XS/SMSM/MDLG/XL
Guardian / Parents Names*

First NameLast Name
Cell Phone*
Format: (000) 000-0000.
Home Phone*
Format: (000) 000-0000.
E-mail*
example@example.com
Guardian / Parents Names

First NameLast Name
Home Phone
Format: (000) 000-0000.
Cell Phone
Format: (000) 000-0000.
E-mail
example@example.com
CoachingConcessionsField MaintananceSign Sponsor Coordinator
YesNo
Birth Certification

**Or include copy with payment when mailing
Cancelof
Proof of Residency

**Or include copy with payment when mailing
Cancelof
I/We, the guardian(s) of the above named, hereby give my/our approval to his participation in any and all Bellefonte Teener Baseball Club activities. I/We assume all risks and hazards incidental to such participation including transportation to and from the activities: and I/We do hereby waive, release, absolve, indemnify and agree to hold harmless to the Bellefonte Teener Baseball Club, the organizers, sponsors, supervisors, participants and persons transporting my/our child, whether the result of the negligence or for any other cause, except to the extent and in the amount covered by the accident or liablity insurance.

Please SEND payment to:

BTBC

126 John Montgomery Ward Ln

Bellefonte, PA 16823
Signature*
Confirmation E-mail*
example@example.com
Should be Empty:

BELLEFONTE TEENER BASEBALL CLUB (BTBC) - PLAYER REGISTRATION