Kinnelon Recreation - CAL RIPKEN BASEBALL - (Kinnelon, NJ)

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2014 Fall Ball Registration

PLAYER INFORMATION

* First Name:

* Last Name:

Street:

City:

State:

* Age:

* Birthdate:

* Grade:

* Shirt Size:

PARENT/GUARDIAN

* First name:

* Last name:

* EMail:

EMail #2:

* Home Phone:

* Cell Phone:

Cell Phone #2:

MEDICAL/EMERGENCY CONTACT INFORMATION

* Emergency Contact:

* Phone:

* Relationship to Player:

* Medical Problems:

WAIVER INFORMATION

RELEASE: I, the undersigned parent/guardian of my child listed above do hereby agree to forever refrain from making claim or bringing suit against the Borough of Kinnelon, the Kinnelon Recreation Commission, the Kinnelon Youth Baseball Association or any of their agents, servants, or employees and do further release and hold harmless the Borough of Kinnelon, the Kinnelon Recreation Commission, the Kinnelon Youth Baseball Association or any of their agents, servants, or employees on account of any and all claims, demands, damages, costs, loss of services, expenses, pain and suffering or personal injury arising out of any act or omission whether negligent or not, while said listed child is participating in any activity sponsored by the Kinnelon Recreation Commission or the Kinnelon Youth Baseball Association.

I/we agree with the above *

* indicates required fields

IMPORTANT: Online Payment with credit cards is not active for this form