Baseball Registration Form - City Of Orange, California printable pdf download

City of Orange Division of Recreation

Baseball Registration Form

All Participants Must Provide Copy of Birth Certificate and Proof of Address

Parent Name:___________________________________________________________DOB__________________

(for data system purposes)

Address:

____________________________________________________________Apt_________________

___________________________________________________, NJ

Zip__________________

Home Phone: ____________________________

Cell Phone__________________________

Email Address:

Participants Names

1-Player Name: ________________________________________________________ Gender M or F, Size ______

Birth date:____________ Age: _________ Grade ________ T-Ball _______ Minors________, Majors__________

2-Player Name: ________________________________________________________ Gender M or F, Size ______

Birth date:____________ Age: _________ Grade ________ T-Ball _______ Minors________, Majors__________

3-Player Name: ________________________________________________________ Gender M or F, Size ______

Birth date:____________ Age: _________ Grade ________ T-Ball _______ Minors________, Majors__________

Fee $ 25.00 pp $25 x (Players) = ____________

Non Resident Fee $40.00 pp x (players) = ___________

**Make money orders payable to City of Orange no refunds or transfer of funds after April 15

EMERGENCY

Name: _________________________________________ Relationship: __________________________

Home Phone: ________________ Day Phone: ____________________ Cell _______________________

PLEASE READ CAREFULLY

I, the parent/guardian of the above named registrant(s), hereby give my approval for the registrant(s) to

participate in any City of Orange Division of Recreation League Activities and understand as a parent I must

abide by the rules and regulations set forth in the parent manual, and volunteering and fundraising activities

are mandatory.

All necessary precautions will be taken to protect each child from physical harm or property loss. However,

the undersigned agree(s) that they do jointly and severally indemnify and hold harmless the City of Orange

Township against liability for any and all claims for damages to property or injury to or death of my child or

ward arising out of the scheduled activities.

Parent/Guardian: _____________________________________________ Date _____________________

AREAS YOU WOULD LIKE TO HELP OUR PROGRAM

Coach_______

Score Keeper__________

Concession Stand ________ Banquet _________

Picture Committee _______ Equipment Asst._________

Field Asst. __________ Parade ________

Baseball Registration Form - City Of Orange, California