Form

Brooksville Vipers 10U

2026 Spring Tryout Registration
Child’s Name

First NameLast Name
Birthday
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Throws

RightLeft
Bats

RightLeftSwitch
Primary Positions
Secondary Positions
Parent Name

First NameLast Name
Phone Number
Please enter a valid phone number.
Email
example@example.com
Address (if different from player)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent Name

First NameLast Name
Phone Number
Please enter a valid phone number.
Email
example@example.com
Address (if different from player)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Consent & Waivers

1. Participation Waiver
I, the parent/guardian of the above-named player, understand that participation in the Vipers 10U Travel Baseball program involves physical activity and the risk of injury. I hereby release and hold harmless the Vipers organization, coaches, staff, volunteers, and affiliates from any liability, claims, or demands arising from participation, practices, games, or travel associated with the team.
Signature

2. Medical Treatment Authorization
In case of illness or injury while my child is participating in any team activity, I authorize the coaching staff or designated adult to obtain necessary medical treatment. I accept financial responsibility for any emergency care required.
Signature

3. Photo/Video Media Release
I grant permission for the Vipers 10U Travel Baseball team to use photos, videos, or media of my child for team websites, social media, promotional materials, and team communications. I understand no compensation will be given.
Signature

4. Signature
By signing below, I acknowledge that all information provided is accurate and that I have read, understood, and agree to all waivers and consents above.
Signature
Should be Empty:

Brooksville Vipers 10U