2025 Summer Baseball Registration Form (Ages 9-10)

2025 Saint Peter Baseball Association (SPBA) - Registration Form

(Ages 9-10)

This registration is for any player that will be or is 9 and 10 years old only.

Need to be enrolled at

John Ireland /SPELS/ South or North Elementary to register.

Must register by midnight Sunday, January 26, 2025.

stpeterbaseball.com
Important Notes
1. The 2025 fee per player will be required at the end of this registration by credit or debit card of $115 (9/10 year olds); (fee includes jersey, adjustable hat, and pre-payment of $100 towards our annual fundraiser of (4) $25 each Hy-Vee coupon cards.) If you need assistance for the registration fee there is a SPBA scholarship available. Please email saintpeterbaseball@gmail.com for further information.
2. Jerseys, hats and coupons cards can be picked up on Wednesday, February 5 at the St. Peter Community Center - St. Peter Room from 4:30 PM - 9:00 PM OR Saturday, February 8 from 8:00 AM - 11:00 AM at the St. Peter Community Center - St. Peter Room. You will also receive a reminder e-mail.
3. You will receive an email in the Spring for when evaluations will take place.
4. Saint Peter Baseball Association Board reserve the right to form the teams to ensure the talents of all teams.
Athlete Information
Player Name*

First NameLast Name
Birthday*

MonthDayYear
Date
Age*
Current Grade*
Jersey Youth Size*

Youth LargeYouth MediumYouth SmallYouth X-SmallAdult SmallAdult MediumAdult LargeAdult X-Large
Adjustable Baseball Hat Size*

X-Large/LargeSmall/MediumX-Small/Small
Guardian/ Parent Name #1*

First NameLast Name
Guardian/ Parent Name #2*

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 Parent/Guardian #1*
E-Mail Parent/Guardian #2
example@example.com
Interested in Coaching or Assistant Coaching?

YesNo Thank You
Please share your name below if interested in Coaching. I would like to play on the same team with following players. League organizers will form teams base on this buddy list and your skill level.
Emergency Contact & Health Insurance Information
Emergency Contact's Name*

First NameLast Name
Relationship*
Phone Number*

Area CodePhone Number
Medical Insurance Carrier
Name of Policy Holder
Subscriver ID/Group Number
Card Number / Card Date
Do you have any allergies, chronic illness, or medical conditions that would limit high level activity?*

YesNo
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, outdoor sport activities at baseball 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 St Peter Baseball Association and the persons in charge.
I have read and agree to the above conditions*

YesNo
Name*

First NameLast Name

My Products*

9 or 10 Year Old Registration$215.00

Registration includes jersey, adjustable hat, and pre-payment for (4) coupon cards $100, which you will save the money once you sell each card.

Total $0.00

Credit Card

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 saintpeterbaseball@gmail.com
Should be Empty:

Release of Liability

Credit Card