BaseballSoftball / Softball Baseball/
Division:
League Year: 2014 _______________________
Pinellas Park PONY / Dizzy Dean Baseball & Softball Player Registration Form Player Information: Last Name: ___________________________
First Name: ___________________________
Street Address: __________________________________________________ City: __________________________ State: ________ Zip: _____________ Home Phone: _________________
Second Phone: _________________
Date of Birth: ________________ Sex: Male / Female
Parent / Guardian: For Communication Purposes please complete in full. Guardian (1) Name: ___________________________ Cell # ____________________________ Guardian (1) Email Address: ______________________________________________________ Guardian (2) Name: ___________________________ Cell # ____________________________ Guardian (2) Email Address: ______________________________________________________ Player lives with: _______________________________________________________________
Player Shirt Size: (Mark an X in the box to the Right) Size:
YS
YM
YL
YXL
AS
AM
AL
AXL
A2XL
Volunteer: (Non-Volunteers pay an EXTRA fee $75.00 per player (Does not apply in Fallball)) Head Coach: Yes / No
If yes, complete coach’s application
Shirt Size: ________
Asst. Coach: Yes / No
If yes, complete coach’s application
Shirt Size: ________
Team Mom:
Yes / No
If yes, complete coach’s application
Shirt Size: ________
Concession:
Yes / No
Parent Shirts: (Mark a number on the line to the Right) Total # of Shirts: ____________ Size(s): YS ________ YM ________ YL ________ YXL ________ AS ________ AM ________ AL ________ AXL ________ A2XL ________ A3XL ________ A4XL ________
Remarks / Special Requests: (Requests are not guaranteed.
No requests for divisions with drafts.)
_________________________________________________________________________________
PLAYER WAIVER AND FEES PLAYER NAME: I, parent/legal guardian of the above named player(s), hereby give my approval for the registrant(s) to participate in any and all activities of Pinellas Park PONY Baseball. I understand that baseball is an active sport in which players may occasionally sustain an injury. I do hereby relieve, waive, release, absolve, indemnify, and agree to hold harmless Pinellas Park PONY Baseball, including board members, coaches, managers, sponsors, supervisors, participants, persons transporting my child, and any volunteer associated with Pinellas Park PONY Baseball of any liability should the above named player be injured while participating in any league activity, whether the result of negligence or for any other cause except to the extent covered by accident and liability insurance. I also understand that my child(ren)’s name, information, and/or likeness (including picture) may be displayed on Pinellas Park PONY Baseball’s website. I give my approval for the registrant(s) name, information, and/or likeness (including picture) to be used on the website of Pinellas Park PONY Baseball. _____________(INITIAL) Joining league baseball is a commitment. There are mandatory practices and games that your child will be required to attend. Please consider that the commitment also extends to the parent/guardian. For safety reasons, parents should remain at the ball fields from the beginning of practice or game to its conclusion unless other arrangements have been made with the manager of the team prior to that day's event. __________________ (INITIAL) PARENT/LEGAL GUARDIAN (PRINTED): PARENT/LEGAL GUARDIAN (SIGNED): DOCTOR’S NAME: DOCTOR’S. PHONE:
***************Section below should be completed by a Board Member*************** FEES: REGISTRATION COST:
$
NON-VOL FEE: ($75/player)
$
(Does not apply in Fallball)
FUND FEE: ($25/player)
$
(Does not apply in Fallball)
PARENT SHIRT(S): ($20/each)
$
(Does not apply in Fallball) (Does not apply in Fallball)
MULTIPLAYER: (-$5/player)
$
LATE FEE
$
after Feb 1st
(+$10/player)
$
TOTAL:
$
AMOUNT PAID:
$
(Does not apply in Fallball) (Does not apply in Fallball)
RECEIPT # ___________ / CHECK
TYPE OF PAYMENT: CASH RAFFLE TICKETS GIVEN
(Does not apply in Fallball)
YES
NO
CHECK # __________
START # _____________
Board Member sign off: __________________________
PINELLAS PARK PONY/DIZZY DEAN BASEBALL VOLUNTEER FORM The Pinellas Park PONY Baseball League is an all-volunteer, Non-profit organization. None of the board members, coaches or other volunteers receives monetary compensation. For this reason, the league relies heavily on parental involvement. Volunteer activities include manager, coach, team mom, score keeper, concession worker, or other activities deemed appropriate by the board. Certain positions require a season-long commitment and will serve as volunteer credit for multiple players in the same family. Other positions will serve as volunteer credit on a per player/per hour basis. By signifying below that I agree to volunteer, I am committing a minimum of 6 hours of volunteer time per child registered for the season.
Player(s) Name: _____________________________________________________ Parent(s) Name: ______________________________________________________
DO NOT wish to volunteer. I have paid an additional $75 PER CHILD registered in the league. I understand that there is no option of paying the fee once the season has started.
I agree to volunteer! I UNDERSTAND THAT I AM PAYING A REDUCED FEE IN RETURN FOR THIS AGREEMENT. If I do not fulfill my responsibilities as a volunteer, I understand that I will owe the league $75 per child or that my child(ren) will forfeit their end of the season awards.
Volunteer Activities (List):
I have read and understand the statements above and agree to fulfill my commitment. Printed Name: Signature: Date:
_______ ____________
PPPB PARENT CODE OF CONDUCT As Written by The National Youth Sports Safety Foundation
The essential elements of character-building and ethics in sports are embodied in the concept of sportsmanship and six core principles: trustworthiness, respect, responsibility, fairness, caring, and good citizenship. The highest potential of sports is achieved when competition reflects these "six pillars of character." I therefore agree: I will not force my child to participate in sports. I will remember that children participate to have fun and that the game is for youth, not adults. I will inform the coach of any physical disability or ailment that may affect the safety of my child or the safety of others. I will learn the rules of the game and the policies of the league. I (and my guests) will be a positive role model for my child 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 other sporting event. I (and my guests) will not engage in any kind of unsportsmanlike conduct with any official, coach, player, or parent such as booing and taunting; refusing to shake hands; or using profane language or gestures. I will not encourage any behaviors or practices that would endanger the health and wellbeing of the athletes. I will teach my child to play by the rules and to resolve conflicts without resorting to hostility or violence. I will demand that my child treat other players, coaches, officials and spectators with respect regardless of race, creed, color, sex or ability. I will teach my child that doing one's best is more important than winning, so that my child will never feel defeated by the outcome of a game or his/her performance. I will praise my child for competing fairly and trying hard, and make my child feel like a winner every time. I will never ridicule or yell at my child or other participant for making a mistake or losing a competition. I will emphasize skill development and practices and how they benefit my child over winning. I will also deemphasize games and competition in the lower age groups. I will promote the emotional and physical well-being of the athletes ahead of any personal desire I may have for my child to win. 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 coaches at an agreed upon time and place. I will demand a sports environment for my child that is free from drugs, tobacco, and alcohol and I will refrain from their use at all sports events. I will refrain from coaching my child or other players during games and practices, unless I am one of the official coaches of the team. I also agree that if I fail to abide by the aforementioned rules and guidelines, I will be subject to disciplinary action that could include, but is not limited to the following: o o o o o
Verbal warning by official, head coach, and/or head of league organization Written warning Parental game suspension with written documentation of incident kept on file by organizations involved Game forfeit through the official or coach Parental season suspension
Parent/Guardian Signature:
Date: