Weirton Baseball Association, Inc. (a 501(c)(3) nonprofit) - (Weirton, WV)

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2021 Tball Registration Form

* Player Name:

* Player's Phone:

* Player's Home City:

* Zip Code:

* Player's School:

* Player's Gender:

Male

Female

* Player's Date of Birth:

* Player's Shirt Size:

* Mother's Name:

* Mother's Phone Number:

Mother's Email Address:

Father's Name:

Father's Phone Number:

Father's E-mail Address:

Other Info/ Allergies/ Alternate Phone Numbers:

Again for 2021, the WBA is making "Parent Team Jerseys" available. These will be the same shirts as worn by your child's team (without numbers). Cost will be $20 per shirt.

They can only be ordered at time of registration, and will not be available a a later time.

Indicate the number of parent shirts, and sizes below.:

Would you like to volunteer?:

Head Coach (Coach'e Application & Consent for Background Check will be require is offered position)

Assistant Coach (Same forms will be required)

Weirton Baseball Association (WBA)- Baseball/Softball Parent Authorization

I, the parent or legal guardian of the above registered child, do hereby give approval for his/her participation in any and all activities of PONY Baseball & Softball during the current season. I hereby grant my permission to managing personnel or other 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 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 Weirton Baseball Association, PONY Baseball/Softball, the officers, 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. In the event of an injury or illness in the course of league activities, I authorize officials of the Weirton Baseball Association to administer first aid and if necessary to transport my child to a duly licensed physician or hospital. I would prefer the physician listed below to be called; however if or when it is not possible, I authorize any licensed physician to administer emergency treatment.

Check to Agree to Above (Must check to continue) *

You MUST select the appropriate fees from the checkboxes below, or your Registration will not be complete.

Registration Fee is REQUIRED.
Enter a check box for each Parent shirt indicated above.

* indicates required fields