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Eaton Baseball & Softball Association Eaton, IN
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Registration Form - Spring 2020
PLAYER INFORMATION
*
First Name:
*
Last Name:
*
Street:
*
City:
*
State:
*
Zip Code:
Home Phone:
*
Birthdate:
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
Email:
*
Gender:
M
F
Grade:
K
1
2
3
4
5
6
7
8
9
10
11
12
*
Shirt Size:
Youth XSmall
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Adult XL
Adult 2XL
Adult 3XL
Hat Size (Tball & Boys only):
Youth
Adult
Sock Size (Girls only - does not include Tball):
Youth
Adult
Please list any allergies/medical problems, including those requiring maintenance medication.
PARENT/GUARDIAN #1
*
First Name:
*
Last Name:
EMail:
Home Phone:
Work Phone:
*
Cell Phone:
PARENT/GUARDIAN #2
First Name:
Last Name:
Email:
Home Phone:
Work Phone:
Cell Phone:
MEDICAL/EMERGENCY CONTACT INFORMATION
*
Emergency Contact:
*
Phone:
*
Relationship to Player:
*
Would you be interested in helping umpire?:
Yes
No
Maybe
*
Would you be interested in helping in the concession stand?:
Yes
No
Maybe
Special Requests
**There is no guarantee that all special requests will be granted. This is at the discretion of the EBSA Board.
Examples would include petitioning a player up to the next age division or requesting players be on the same team, such as step siblings.
Request::
WAIVER INFORMATION
I, the undersigned parent/guardian of the participant, a minor child, do hereby authorize the Eaton Baseball/Softball Association and the representatives thereof, as agents for the undersigned, to consent to medical, surgical, and/or dental examination in case of emergency. I hereby authorize treatment and/or care of participant at any hospital.
*
Parent/Guardian Authorization and Acknowledgment:
*
Date:
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
2020
I/we agree with the above
*
CODE OF CONDUCT POLICY
Violation of any part of the code of conduct will result in removal from the park and the party/parties involved will not be allowed to return to the park for the remainder of the game. A second violation will result in suspension from all EBSA activities for the remainder of the season.
1. The progress of the game will not be disturbed by a fan's action. The
umpire has the authority to eject fans from the ball park, if necessary,
with the assistance of the Eaton Police Department.
2. I will not use profanity or any type of verbal abuse toward any
participant, coach, umpire, or league official.
3. I will abide by the decision of the umpire and/or league officials.
4. I will be respectful of the coaches, umpires, and players during and
after the game. If I have any concerns regarding my child or a
disagreement, I will contact an EBSA Board Member.
5. I will inform EBSA and my child's coach of any physical disabilities or
ailment that might affect the safety of my child and/or others.
6. I will encourage my child to display good sportsmanship at all times
win or lose.
I agree that I have read and understand all codes set forth by EBSA. I understand that a violation of any of the codes will result in removal, suspension, or termination of any participation in league activities.
*
Parent Name:
*
Players Name:
* indicates required fields
Tball (Boys and Girls Ages 4-6)($45)
Minor Boys (Ages 7-9)($55)
Pixie Girls (Ages 7-9)($55)
Major Boys (Ages 10-13)($55)
Junior Girls (Ages 10-13)($55)
Senior Girls (Ages 14-18)($55)