BRANDYWINE CAL RIPKEN BRL (BCRBRL) 2016 REGISTRATION FORM FOR LEAGUE USE ONLY – DO NOT FILL OUT THIS BOX Method of Payment: Cash Amount: Division:
PLAYER INFORMATION Player’s Age as of 4/30/2016
Check #: Check Amount: Draft: YES / NO Already Placed/Team:
RETURNING? IF SO, WHAT TEAM Date of Birth
Contact Phone Number
_______________________________ Last Name
_______________________________ First Name
___________________________________ E-mail
_______________________________ Street Address
_______________________________ City
___________________________________ Emergency Contact and Contact Number
Parents/Guardians Names: Allergies/medical problems: Siblings Playing: ____________________________________ Age/Team/Division: _____________________________ Siblings Playing: ____________________________________ Age/Team/Division: _____________________________ Siblings Playing: ____________________________________ Age/Team/Division: _____________________________
NOTE: Registration forms and fees are due by March 12, 2016. Children are NOT signed up until a registration form is received. Registration forms will NOT be accepted after March 12, 2016.
Registration / Uniform Fees/ League Insurance/ Licensing TEE-BALL (4 AND 5 YR. OLD) $45 (includes hat and shirt) Baseball pants are optional for tee-ball, can be purchased through the League, see below.
Shirt size:
circle one YS YM YL AS AM AL AXL
BASEBALL (6-8 YR. OLD) ROOKIE $70 (includes hat and jersey) BASEBALL (9-10 YR. OLD) MINOR $70 (includes hat and jersey) BASEBALL (11-12 YR. OLD) MAJOR $70 (includes hat and jersey) Shirt size:
circle one YS YM YL AS AM AL AXL
All players MUST have Grey baseball pants. Minors and Majors are also required to wear a belt. You may provide your own, or purchase these through the leaque. Belt only $5.00 Please check here ______ if belt is needed circle one Youth or Adult Baseball Pants and Belt $15.00 (Champro long, samples will be at Live Registrations) Pant size: circle one YS YM YL YXL AS AM AL AXL ^^There is a $10 sibling discount for each additional child registered from the same household^^ PULL UP LIST: _____ I would like my 8 year old placed on the “pull up” list in order to play at the minor level when a player is needed. _____ I would like my 10 year old placed on the “pull up” list in order to play at the major level when a player is needed.
NSF Fee A $30 NSF fee will be added to the fee(s) for any checks returned due to insufficient funds I hereby give my approval allowing the above named player(s) to participate in any BCRBRL activity. I assume all risks and hazards incidental to such participation, including transportation to and from such activities, and wave, release absolve, indemnify, and agree to hold harmless the BCRBRL supervisors and participants from any claim arising from an injury to the player. I give representatives of the BCRBRL permission to secure emergency medical treatment for the player(s) named above in the event I cannot be contacted within a reasonable period of time. I agree to return upon request, the equipment issued to the player(s) in as good condition as when received, except for normal wear. I agree to pay the league all replacement costs of the issued items. Signature of Parent/Guardian:
2016 Brandywine Cal Ripken Youth Baseball & Tee-Ball League Registration Do you have a child who is age 4-12 years old by April 30, 2016 who loves to play baseball? Then the Brandywine Cal Ripken Youth Baseball/Tee-Ball League wants you! Brandywine Cal Ripken Baseball offers the following divisions… Tee-Ball Division (for children ages 4 & 5) provide basic baseball fundamentals in a non-competitive environment. Rookie Division (for children ages 6, 7 & 8) provide basic baseball fundamentals and the children experience machine pitch baseball. Minor Division (for children ages 9 & 10) provide intermediate baseball fundamentals in a live-pitch environment. Major Division (for children ages 11 & 12) provide advanced baseball fundamentals such as leading off, stealing bases, advanced pitching techniques, and playing on longer base paths and pitching distances to get them ready for the next level.
If the player is new to our league we will need a copy of their birth certificate to have on file.
We will be holding live registrations on January 24th, 31st, and February 1st at the Brandywine Elementary school from 12-3 pm. (during the midget basketball games)
Registration forms and fees (checks and money orders only) may be mailed to BCRBRL, PO Box 532, Niles, MI 49120.
E-mail form back to Chopper Hoskin (see below)
Credit Card Payments accepted during Live Registrations ONLY. There will be a 3% transaction fee applied with credit card payment.
Children who are new to the league or moving up to a new division will need to go through tryouts. Tryouts for all divisions are tentatively scheduled for March 12, 2016. Information will be posted on the league’s website and on Facebook once it becomes finalized. All children who register by March 12th will make a team. The tryouts are a means to help keep the teams even. More information concerning tryouts will be available at a later date. Children who are entering our Tee-Ball division will not need to go through a tryout process. They will be placed on a team.
Please make checks payable to Brandywine Cal Ripken Babe Ruth League or BCRBRL
If you have any questions, please contact (text or e-mail preferred) Chopper Hoskin 269-845-5490 OR Dennis Prenkert 574-993-0665
[email protected] Check out or Facebook page for updates and information.
**** ALL fees MUST be paid in full before uniforms are ordered and players will be allowed to play **** ## No Registration forms will be accepted after March 12th, 2016 ##