Erin Youth Baseball Registration

PLAYER INFORMATION
   
Child First Name:  
Child Last Name:  
Address:  
City:        State:    Zip Code:   
Date of Birth:                      Age:       Gender:      
Email Address:   Home Phone:        

Years of Experience:

   

Transportation Request:

 
UNIFORM INFORMATION
   
Child Uniform Size:                    Hat ($10)        Visor ($10)
Adult Uniform Size:                 Hat ($10)        Visor ($10)
* Guardians must purchase gray pants for players ages 9 and up
   
PARENTAL INFORMATION
   
Father's Name:     Father's Phone #:
Mother's Name:     Mother's Phone#: 
       
REGISTRATION FEE SCHEDULE
   
Fees:   * Select only one
 
FAMILY PARTICIPATION
   
Family Participation:   * Select all that apply - (use CTRL to select multiple)
Sponsor: * Check if interested in sponsoring a team
* Families must participate in the club for it to be successful and function well.  Every family must volunteer no less than  five (5) hours per season.  If you do not complete your volunteer hours, you will not receive a refund of your $50 volunteer fee.
   
IN CASE OF EMERGENCY
   
Medical Conditions:
Physician Name:    Physician Phone:
Emergency Contact:    Contact Phone:  
   
I hereby grant permission for my child to participate in Erin Youth Baseball.  The club has my permission to write articles or put pictures which include my child on the Erin Youth Baseball Club Web Site, Newsletter, or Town Newsletter.  In consideration of his/her engaging is this activity, I agree to hold harmless the assigned coach, his/her associates and the Club because of any claim arising in behalf of my said son or daughter from possible injury or illness while engaged in the activity.  This includes transportation to and from games and practices.  In the event I cannot be reached and emergency medical treatment is required, you may contact the Physician listed above, or you may authorize medical authorities to prescribe such treatment.
By Checking the following box you are affixing your electronic signature and agreement with these statements: 

PLEASE MAKE CHECKS PAYABLE TO:  Erin Youth Baseball Club