Baseball Acumen Player Registration form

Player's Name:

First NameMiddle NameLast Name

Player's Date Of Birth:

MonthDayYear

Players Position

Bats

Throws

How many years playing?

Leagues played before?

Select the package interested on…

1 day in between is recommended for 2 & 3 sessions per week

Mother's Name

First NameLast Name

Mother's Cell

Area CodePhone Number

Mother's Email

Father's Name

First NameLast Name

Father's Phone

Area CodePhone Number

Father's Email

Authorization For Emergency Treatment

By submitting this form you give your consent for your child's participation in any and all Baseball Acumen functions or activities. In the event of any injury or sickness occurring during any Baseball Acumen functions or activities, you authorize any official(s) to administer first aid and if necessary to transport your child to the nearest emergency treatment.

You release Baseball Acumen and any person(s) connected with Baseball Acumen of any responsibility from accident or injury incurred as a result of his participation in any and all activities, including transportation to and from any Baseball Acumen functions or activities.

You certify that you child has been given a physical examination and is physically able to participate in all related activities. Please notify in writing any prescribed medications and / or physical conditions of which the Baseball Acumen coaching staff should be aware of are listed below.

Are there any medical conditions the staff needs to be aware of?

Comments:

In Case Of Emergency

Name and Relation:

Contact Number:

Signed: Parent

Date:

MonthDayYear