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2024 League Registration (Due by March 15th, 2024)
Please DO NOT fill this form out if you already registered for travel baseball or softball for the 2024 travel season.
PLAYER INFORMATION
*
First Name:
*
Last Name:
*
Street:
*
City:
*
State:
*
Zip Code:
*
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
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
*
Gender:
M
F
Provide Boys age on April 30th, 2024
Provide Girls age on January 1st, 2024
*
Age on Above Dates:
*
Using this drop down list, What division will you be signing up for?:
T-Ball(boys and girls ages 4-5)
Jr. Boys(boys ages 6-7)
Jr. Girls(girls ages 6-7)
Boys Minor(boys ages 8-9)
Girls Minor(girls ages 8-9)
Boys Major(boys ages 10-12)
Girls Major(girls ages 10-13)
*
Shirt Size:
YS
YM
YL
AS
AM
AL
AXL
AXXL
*
Does your child pitch during league?:
Yes
No
*
Does your child catch during league?:
Yes
No
PARENT/GUARDIAN #1
*
Firstname:
*
Lastname:
*
Email:
*
Cell Phone:
MEDICAL/EMERGENCY CONTACT INFORMATION
*
Emergency Contact:
*
Phone:
*
Relationship to Player:
Add Medical Conditions Here:
*
Would you be interested in coaching?:
Yes
No
*
Would you be interested in assistant coaching?:
Yes
No
If you selected yes to head coach or assistant coach, what size shirt would you wear?:
AS
AM
AL
AXL
AXXL
AXXXL
Additional Comments:
Waiver
I give my approval and consent to the participation of the player listed above in the Jasper County Boys and Girls Park, events and activities. The electronic signature below acknowledges and agrees that: I am not aware of any injury, illness or other health related issues that would restrict my child's ability to play in competitive sports. I agree to assume all risks and expenses due to an injury that may occur as a result of my child's involvement in competitive sports' practices, games, and/or travel to and from said activities. I agree not to hold the Jasper County Boys and Girls Park or anyone acting on its behalf either as a coach, a coach assisting, or board members responsible in the event of an injury to my child while participating under the supervision of the above.
Medical Release
I hereby give my consent for medical treatment deemed necessary by physicians and/or ballpark authorities including, but not limited to, calling 911 and/or providing transportation to a hospital emergency room or urgent care facility for treatment of any illness or injury while at or participating in activities related to Jasper County Boys and Girls Park.
Photograph Release
I agree that Jasper County Boys and Girls Park may use photographs of my family for any lawful purpose, including, but not limited to their web-site, Facebook page, twitter account and/or cash calendar.
Conduct
Jasper County Boys and Girls Park has been fortunate in that the behavior of our players, parents and fans has been overwhelmingly positive. To maintain this standard, the board reserves the right to exclude from park attendance ANY child or adult who is a danger to himself or others, or who displays inappropriate/offensive conduct towards others.
I agree with the above Waiver, Medical Release, Photograph Release and statement on conduct.
*
After the submit button is pressed, you will have the option to add another player. Electronic signature is acceptable when submitting this form electronically.
*
Signature:
* indicates required fields
SELECT FEE
$40.00 - Tball ( Boys and Girls ages 4-5)
$60.00 - Jr. Boys ( ages 6-7)
$60.00 - Jr. Girls (ages 6-7)
$60.00 - Boys Minor ( ages 8-9)
$60.00 - Girls Minor ( ages 8-9)
$60.00 - Boys Major ( ages 10-12)
$60.00 - Girls Major ( ages 10-13)