Baseball Registration Form - Grand Island, Nebraska printable pdf download

Baseball Registration Form - Grand Island, Nebraska

Grand Island Youth Baseball Registration Form

Birth Date Cutoffs

Age Before May 1

(circle)

Player First Name: _____________________________

T-Ball:

4-5 years old ($50)

Player Last Name: _____________________________

Coach Pitch: 5-6 years old ($50)

Player Birth Date: _____________________________

A-Ball:

7-8 years old ($50)

Player Age (as of April 30): ______________________

Minors:

9-10 years old ($70)

Parent Name:

_____________________________

Majors:

11-12 years old ($70)

Parent Name:

_____________________________

Juniors:

13-15 years old ($70)

Cell Phone #:

_____________________________

Seniors:

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: ___________________

Baseball Registration Form - Grand Island, Nebraska

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