Baseball Registration Form - Grand Island, Nebraska


Grand Island Youth Baseball Registration Form
Birth Date Cutoffs
Age Before May 1
Player First Name: _____________________________
4-5 years old ($50)
Player Last Name: _____________________________
Coach Pitch: 5-6 years old ($50)
Player Birth Date: _____________________________
7-8 years old ($50)
Player Age (as of April 30): ______________________
9-10 years old ($70)
Parent Name:
11-12 years old ($70)
Parent Name:
13-15 years old ($70)
Cell Phone #:
16-18 years old ($70)
Second Phone #: _____________________________
Add $10 if paid later than
Email Address:
April 15 (ages 9-18)
Player Address: ______________________________
May 15 (ages 4-8)
Player City:
Total Payment: $___________
Player Zip Code: ______________________________
*The GI City Player
Emergency Contact Person: _____________________
Participation Fee of $10 is
included in the registration fee.
Emergency Contact Phone: ______________________
Player’s School (8 and under only): _________________
Player Shirt Size: Youth: XSM SM MED LG Adult: SM MED LG XLG
(circle one)
Volunteer Opportunities: Coach Assistant Coach Sponsor Board Member
(circle one)
Special Medical Conditions: ________________________________________________
I/We, the parent of the above named player for a position on a Grand Island Youth
Baseball team, herby give our approval to participate in any and all Grand Island Youth
Baseball League activities, including transportation to and from activities. I/We know
that participation in baseball may result in serious injuries and protective equipment
does not prevent all injuries to players, and do herby waive, release, absolve, indemnify
and agree to hold harmless the local Grand Island Youth Baseball League Inc., the
organizers, sponsors, supervisors, participants and persons transporting my/our child to
and from activities for any claim arising of any injury to my/our child whether the
results of negligence of for any cause except to the extent and in the amount covered
by accident or liability insurance.
Parent: ____________________________ Date: ___________________


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