Harleysville Baseball
Harleysville Baseball
A player’s “League Age” is their age as of April 30, 2016
2016 Youth Baseball Registration Form
If their 12th birthday is on or before April 30th, they are 12
League Ages 5-12 are eligible to play in this league
If their 12th birthday is on or after May 1st, they are 11.
www.harleysvillebaseball.org
Player’s Residence Information Parent/Guardian
First Name
Last Name
Spouse/Partner
First Name
Last Name
Street Address
Town
Main Contact Phone
School
Yes, I want to receive text updates
Cell phone:
Main Contact Email
Zip
2nd Cell:
2nd Email
Player’s Personal Information Player’s
First Name
Date of Birth:
Age now:
Last Name Age as of April 30, 2016
If player’s league age is 6 and player played T Ball in Harleysville Baseball in 2015, then please choose which league player will play in 2016: League Age 5-9 ($100)
T Ball
Coach Pitch
League Age 10-12 ($115)
Volunteer Opportunities (Please check at least one box)
Manager/Head Coach*
Experience:
Assistant Coach
Experience:
Team Parent
Umpire
Snack Stand Committee (assisting with opening and closing throughout the season, different from team coverage)
Experience:
Note: Each team will be assigned specific times for Snack Stand duty and Field Maintenance. These are critical activities for the success of the league and all families are expected to participate. *The home team is responsible for providing umpire coverage for all levels below the Major league. In consideration for my child being permitted to participate in the Harleysville Baseball Association (“HBB”) program, related events and activities, the undersigned acknowledges and agrees that as the natural parent(s) and/or as the legally authorized guardian(s), do hereby for myself, my spouse and my child hereby agree to release, waive, discharge, hold harmless and indemnify the HBB, their officers, directors, agents, umpires, contractors, sponsoring agencies, sponsors and owners and/or lessors of premises used to conduct HBB activities for any and all known or unknown, foreseen or unforeseen, bodily or personal injuries and permanent injuries, illnesses, damage to property or other losses and any consequences thereof, including expenses, costs, as may be sustained by my child or me arising out of or in any way associated with my child’s participation in HBB, travel incident thereto, whether by negligence or not to the fullest extent permitted by law.
Support Harleysville Baseball with an additional gift
$5 $10 $25 $50 Other:
Parent/Guardian Signature: Date: If first year in Harleysville Baseball, is birth certificate presented? Comments
Check #
Yes
No Amt Enclosed:
A player’s “League Age” is their age as of April 30, 2016
2016 Youth Baseball Registration Form
If their 12th birthday is on or before April 30th, they are 12
League Ages 5-12 are eligible to play in this league
If their 12th birthday is on or after May 1st, they are 11.
www.harleysvillebaseball.org
Player’s Residence Information Parent/Guardian
First Name
Last Name
Spouse/Partner
First Name
Last Name
Street Address
Town
Main Contact Phone
School
Yes, I want to receive text updates
Cell phone:
Main Contact Email
Zip
2nd Cell:
2nd Email
Player’s Personal Information Player’s
First Name
Date of Birth:
Age now:
Last Name Age as of April 30, 2016
If player’s league age is 6 and player played T Ball in Harleysville Baseball in 2015, then please choose which league player will play in 2016: League Age 5-9 ($100)
T Ball
Coach Pitch
League Age 10-12 ($115)
Volunteer Opportunities (Please check at least one box)
Manager/Head Coach*
Experience:
Assistant Coach
Experience:
Team Parent
Umpire
Snack Stand Committee (assisting with opening and closing throughout the season, different from team coverage)
Experience:
Note: Each team will be assigned specific times for Snack Stand duty and Field Maintenance. These are critical activities for the success of the league and all families are expected to participate. *The home team is responsible for providing umpire coverage for all levels below the Major league. In consideration for my child being permitted to participate in the Harleysville Baseball Association (“HBB”) program, related events and activities, the undersigned acknowledges and agrees that as the natural parent(s) and/or as the legally authorized guardian(s), do hereby for myself, my spouse and my child hereby agree to release, waive, discharge, hold harmless and indemnify the HBB, their officers, directors, agents, umpires, contractors, sponsoring agencies, sponsors and owners and/or lessors of premises used to conduct HBB activities for any and all known or unknown, foreseen or unforeseen, bodily or personal injuries and permanent injuries, illnesses, damage to property or other losses and any consequences thereof, including expenses, costs, as may be sustained by my child or me arising out of or in any way associated with my child’s participation in HBB, travel incident thereto, whether by negligence or not to the fullest extent permitted by law.
Support Harleysville Baseball with an additional gift
$5 $10 $25 $50 Other:
Parent/Guardian Signature: Date: If first year in Harleysville Baseball, is birth certificate presented? Comments
Check #
Yes
No Amt Enclosed:
