For more information, please contact BWBA President
BIG WALNUT YOUTH BASEBALL – SPRING 2018 SEASON APPLICATION Application for Grades Pre-K through 6
** Deadline: Sunday, March 18 **
- Register online at www.bigwalnutbaseball.com OR - Complete and mail this application with payment to: BWBA, PO BOX 66, SUNBURY, OH 43074
PLAYER INFORMATION Player Name:
Age:
DOB:
Grade: Pre-K K 1
NOTE: T-Ball players must be in Grade K by Fall of the 2018 school year.
Player Address: Guardian 1:
Guardian 2:
Email 1:
Email 2:
Mobile Phone #1: (
2 3 4 5 6
)
Mobile Phone #2: (
Mobile Provider: (for text messages): Player Shirt Size (circle one): [ YSM
)
Mobile Provider: (for text messages): YMD
YL
YXL
ASM AMD AL AXL
AXXL ]
My child’s skills are advanced. I’d like my child to be considered for play above their grade group. Is there anything you would like us to know about your player – concerns / allergies / medical conditions?
VOLUNTEER OPPORTUNTIES BWBA is an all-volunteer organization. Please circle the area(s) in which you are willing to help.
Head Coach
Assistant Coach
Team Mom
Concession Stand
Board Member [ Coach Shirt Size:
]
FEES AND OPTIONS
Registration Fee [ 1 Player = $110
$
/ $10 Sibling Discount ]
I’d like to become a sponsor [ for sponsorship information and benefits, call Jeff Fuller (614) 580-1267 ] Gift:
$
My child (Grade 1 – 6) will attend the BWBA Baseball Skills Clinic [ $40 fee / clinic T-shirt ]
$
Clinic will be held at Big Walnut High School Sunday February 25th
TOTAL [ please make checks payable to BWBA, P.O. Box 66, Sunbury, OH 43074 ]
$
RELEASE OF CLAIMS I, THE UNDERSIGNED parent and/or legal guardian of the above-named player understand and appreciate that there are risks of injury to my child from participating in this activity. I further understand and appreciate that there are risks of injury and property damage inherent in attending practices and games. I agree to release the Big Walnut Baseball Association, Big Walnut Local School District and all sponsors, coaches, officials, volunteers, and members of BWBA from any and all claims of injury and/or damage suffered directly or indirectly through my child's participation in the BWBA program. I further provide consent for first aid and other medical treatment to be provided to my child in the event I am not present when such treatment may be necessary. BWBA will also maintain a publicly accessible website on which may have names, pictures, and other information identifying my child as a participant in BWBA activity. I provide my consent for such information to be placed on the BWBA website.
Printed name:
Signature:
Date:
Distribution of this information does not necessarily mean endorsement or support by The Big Walnut Local School District but is provided as a public service.
FOR OFFICE USE ONLY: Received: $ ____________
_____ Cash
____ Check #: ___________
By: _______
Date: __________
For more information, please contact BWBA President, Jeff Fuller at (614) 580-1267 or visit www.bigwalnutbaseball.com.
** Deadline: Sunday, March 18 **
- Register online at www.bigwalnutbaseball.com OR - Complete and mail this application with payment to: BWBA, PO BOX 66, SUNBURY, OH 43074
PLAYER INFORMATION Player Name:
Age:
DOB:
Grade: Pre-K K 1
NOTE: T-Ball players must be in Grade K by Fall of the 2018 school year.
Player Address: Guardian 1:
Guardian 2:
Email 1:
Email 2:
Mobile Phone #1: (
2 3 4 5 6
)
Mobile Phone #2: (
Mobile Provider: (for text messages): Player Shirt Size (circle one): [ YSM
)
Mobile Provider: (for text messages): YMD
YL
YXL
ASM AMD AL AXL
AXXL ]
My child’s skills are advanced. I’d like my child to be considered for play above their grade group. Is there anything you would like us to know about your player – concerns / allergies / medical conditions?
VOLUNTEER OPPORTUNTIES BWBA is an all-volunteer organization. Please circle the area(s) in which you are willing to help.
Head Coach
Assistant Coach
Team Mom
Concession Stand
Board Member [ Coach Shirt Size:
]
FEES AND OPTIONS
Registration Fee [ 1 Player = $110
$
/ $10 Sibling Discount ]
I’d like to become a sponsor [ for sponsorship information and benefits, call Jeff Fuller (614) 580-1267 ] Gift:
$
My child (Grade 1 – 6) will attend the BWBA Baseball Skills Clinic [ $40 fee / clinic T-shirt ]
$
Clinic will be held at Big Walnut High School Sunday February 25th
TOTAL [ please make checks payable to BWBA, P.O. Box 66, Sunbury, OH 43074 ]
$
RELEASE OF CLAIMS I, THE UNDERSIGNED parent and/or legal guardian of the above-named player understand and appreciate that there are risks of injury to my child from participating in this activity. I further understand and appreciate that there are risks of injury and property damage inherent in attending practices and games. I agree to release the Big Walnut Baseball Association, Big Walnut Local School District and all sponsors, coaches, officials, volunteers, and members of BWBA from any and all claims of injury and/or damage suffered directly or indirectly through my child's participation in the BWBA program. I further provide consent for first aid and other medical treatment to be provided to my child in the event I am not present when such treatment may be necessary. BWBA will also maintain a publicly accessible website on which may have names, pictures, and other information identifying my child as a participant in BWBA activity. I provide my consent for such information to be placed on the BWBA website.
Printed name:
Signature:
Date:
Distribution of this information does not necessarily mean endorsement or support by The Big Walnut Local School District but is provided as a public service.
FOR OFFICE USE ONLY: Received: $ ____________
_____ Cash
____ Check #: ___________
By: _______
Date: __________
For more information, please contact BWBA President, Jeff Fuller at (614) 580-1267 or visit www.bigwalnutbaseball.com.
