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2024 Registration
PLAYER INFORMATION
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First Name:
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Last Name:
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Birthdate:
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Gender:
M
F
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Age your kid will be on April 30th?:
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Your Child's Experience:
New Player
Returning Player
Played for another league
If you played for another league, which league and team?:
PARENT/GUARDIAN
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First Name:
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Last Name:
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Parent, Guardian or Adult E-mail:
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Phone Number:
Interested in Coaching?:
Yes
No
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Address:
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City:
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State:
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Zip Code:
TEAM SELECTION
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Choose Team (What age will your child be on April 30th?):
T-Ball (Modified Coach Pitch) - Ages 4-6 - $70
Pinto (Coach Pitch) - Ages 6-8 $70
Mustang - Ages 9-10 - $70
Bronco - Ages 11-12 - $70
Pony - Ages 13-14 - $70
Requested Jersey Number (Remember, these are requests and not guarantees):
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1st Choice:
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2nd Choice:
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3rd Choice:
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Shirt Size:
Youth Extra Small
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Adult XL
Adult 2XL
Adult 3XL
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Hat Size:
Youth
Adult
MEDICAL/EMERGENCY CONTACT INFORMATION
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Emergency Contact:
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Phone:
Relationship to Player:
I, as the parent or guardian of (player's name), do hereby give my approval for their participation in any and all Dillonvale Indians Baseball organization league activities.
I hereby grant my permission to managing personnel or other organization league representatives to authorize and obtain medical care, at my expense, from any licensed physician, hospital, or medical clinic should the player become ill or injured while participating in organized league activities away from home, or where neither parent nor legal guardian is available to grant authorization for emergency treatment.
I assume all risks and hazards, incidental to my child's participation, including transportation to and from the activities; and do hereby waive, release, absolve, indemnify and agree to hold harmless the local Dillonvale Indians Baseball organization, the organizers, sponsors, supervisors, participants, and persons transporting the player to and from the activities, for any and all claims arising out of an injury to the player.
I further agree to furnish certified birth documentation for the player, upon request by organization league officials, and to return upon request the uniform and other equipment issued to the player in as good a condition as when received, except for normal wear and tear in organization league activities.
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Medical Insurance Company:
Policy #:
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Parent's Signature (Type in your name to Digitally sign this form):
MEDICAL FORM
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Players Name:
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Past Medical and Surgical History. (If none write NONE):
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Medications Taken Daily Please list medications taken and what they are for: (If none write NONE):
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Any Allergies and reaction: (If none write NONE):
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Is your child on any emergency medications? Example: Epi pen, inhalers. Please list below the medication and what they are used for. (If none write NONE):
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Any information, medical diagnosis or other information we, as coaches and officers, need to know about?:
Please list any information that may help us better understand your child, assist your child to better understand the game and what is expected/rules to follow, and most importantly, to keep your child safe at all times.
This information is maintained by our coaches and league officers. It is in the best interest of your child to have this information on hand in case of an emergency situation.
WAIVER/RELEASE OF LIABILITY
1. I acknowledge that, Baseball (activity), involves known and unanticipated risks which could result in physical or emotional injury, paralysis or permanent disability, death, and property damage. Risks include but are not limited to: medical conditions resulting from physical activity; and damaged clothing or other property. I understand such risks simply cannot be eliminated, despite the use of safety equipment, without jeopardizing the essential qualities of the activity.
2. I expressly accept and assume all of the risks inherent in this activity or that might have been caused by the negligence of the Releasees. My participation in this activity is purely voluntary and I elect to participate despite the risks. In addition, if at any time, I believe that event conditions are unsafe or that I am unable to participate due to physical or medical conditions, then I will immediately discontinue participation.
3. I hereby voluntarily release, forever discharge, and agree to indemnify and hold harmless Releasees from any and all claims, demands, or causes of action which are in any way, connected with my participation in this activity, or my use of the equipment or facilities, arising from negligence. This release does not apply to claims arising from intentional conduct. Should Releasees or anyone acting on their behalf be required to incur attorney fees and costs to enforce this agreement, I agree to indemnify and hold them harmless for all such fees and costs.
4. I represent that I have adequate insurance to cover any injury or damage I may suffer or cause while participating in this activity, or else I agree to bear the costs of such injury or damage myself. I further represent that I have no medical or physical condition which could interfere with my safety in this activity, or else I am willing to assume and bear the costs of all risks that may be created, directly or indirectly, by any such condition.
5.In the event that I file a lawsuit, I agree to do so solely in the state where the Releasees facility is located, and I further agree that the substantive law of that state shall apply.
6. I agree that if any portion of this agreement is found to be void or unenforceable, the remaining portions shall remain in full force and effect.
By signing this document, I agree that if I am hurt or my property is damaged during my participation in this activity, then I may be found by a court of law to have waived my right to maintain a lawsuit against the parties being released on the basis of any claim for negligence.
I have had sufficient time to read this entire document and, should I choose to do so, consult with legal counsel prior to signing. Also, I understand that this activity might not be made available to me or that the cost to engage in this activity would be significantly greater if I were to choose not to sign this release and agree that the opportunity to participate at the stated cost in return for the execution of this release is a reasonable bargain.
I have read and understood this document and I agree to be bound by its terms.
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Parent's Signature (Type in your name to Digitally sign this form):
*
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CODE OF CONDUCT
Any parent guilty of improper conduct during any game or practice will be asked to leave the sports facility and be suspended from the game following the incident. Repeat violations may cause a multiple-game suspension, or forfeit the privilege of attending the remainder of the season.
I, therefore, agree to the following:
1. I will not force my child to participate in baseball.
2. I will remember that children participate to have fun and that the game is for enjoyment, not adults.
3. I will inform the coach of any physical disability or ailment that may affect the safety of my child or the safety of others.
4. I (and my guests) will be positive role models for the children and encourage sportsmanship by showing respect and courtesy, and by demonstrating positive support for all players, coaches, officials, and spectators at every game, practice, or event.
5. I (and my guests) will not engage in unsportsmanlike conduct with any official, coach, player, or parent. This includes booing, taunting, refusing to shake hands, profanity of any kind, or improper gestures.
6. I will not encourage any behavior or practices that would endanger the health and well-being of the players, coaches, officials, or spectators.
7. I will teach my child to play by the rules and to resolve conflicts without resorting to hostility or violence.
8. I will demand that my child treat all players, coaches, officials, and spectators with respect regardless of race, color, creed, sex, or ability.
9. I will respect the officials and their authority during games and will never question, discuss, or confront coaches at the game field, and will take time to speak with them at an agreed-upon time and place.
By signing below, I acknowledge, I have read and understand the Code of Conduct and will abide by the rules set forth therein.
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Parent's Signature (Type in your name to Digitally sign this form):
*
Today's Date:
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We are excited to get the 2024 season going.
Information you will need to know:
Supplies you are responsible for:
Bat - must have USA stamp on the bat for all age groups.
Helmet - for batting
Chin strap - Required for batting helmet
Glove - for fielding
Spikes - any color
Socks - Red baseball socks. For returning players, same as last year
Pants - gray baseball pants. For returning players, same as last year
T-Ball only - an in-fielding face mask. The organization has some you can rent for a $15 fee which will be refunded when the facemask is returned at the end of the year if you do not want to buy your own.
Players CAN NOT share. Each child MUST have their own.
The team will provide:
Uniform's Jersey and hat for everyone
Chest protector for the pitcher(s)
Catchers gear for the catcher(s)
Players MUST HAVE the proper equipment for all practices and games.
A Parent meeting will be held in the Dillonvale City Building, where we are holding winter workouts, on Wednesday, February 28, 2024 at 6:15pm.
Each player MUST have one parent/family member attend.
We will be talking about this season, meeting coaches and discussing need-to-know dates.
AFTER you hit the Submit button, please click on the button to COMPLETE your registration!
I/we agree with the above
*
After you click on the SUBMIT FORM button, there is a FINAL button you have to click on to fully submit it.
* indicates required fields