Registration Deadline
Wharton Babe Ruth League, Inc.
2017
13-15 Registration Form
th Registration Deadline: April 6Inc Late Feeyr. after AprilRegistration 6th is $10 Wharton Babe Ruth Baseball, 13-15 old th
Try-Outs: Sunday, April 9th 2:00 P.M. Monday, April 10 6:00 P.M. Draft: Wednesday, April 13th 1st Practice: April 14th
Shirt Size:____
Please Print In Ink or Type: Player’s Full Legal Name:
First:
Middle:
Name of School Attending: Player’s Telephone #:
Last:
Email:
(
Grade Classification: Date of Birth:
)
Current Age:
Mo/Day/Yr
Player’s Street Address ( Required)
City:
Zip Code:
Player’s Mailing Address:
City:
Zip Code:
Names of Player’s Parents/Legal Guardians: Parents/Legal Guardians Work Telephone #’s:
(
)
(
)
Player’s Physician:
Physician Telephone #
In Case of Emergency Contact:
Telephone #
Insurance Co. Name:
Policy or Group #
Insurance Co. Mailing Address:
Insurance Co. Telephone #
(
(
)
) (
)
AGREEMENT OF PARTICIPATION WITH THE WHARTON BABE RUTH LEAGUE, INC As a parent or legal guardian, my child, ________________________________________________, has my permission to participate in the Wharton Babe Ruth League Program. My child also resides/attends classes during traditional academic year within the boundaries of the Wharton Babe Ruth League, Inc boundaries. I understand that if my child has registered after the League’s deadline that he/she may not be guaranteed an immediate place on a team, but will be placed in a late sign-up pool. Furthermore, I understand that I will be responsible for the purchase of my child’s team pants, belt, socks and/or leggings. I also agree that my child will follow the League’s code of conduct, rules, and regulations as well as Babe Ruth International rules and regulations. Lastly, I understand and agree that if my child is selected to an All-Star Team, I am responsible for a non-refundable $30.00 All-Star fee, due payable upon the announcement of selection to an All-Star Team.
AFFIRMATION OF MEDICAL TREATMENT In order to make immediate treatment possible for all players, in case of an accident or illness, I hereby authorize a representative of the Wharton Babe Ruth League Association to use his or her judgment in obtaining immediate medical care. In case of injury or illness, I will not hold the Wharton Babe Ruth League, Inc and/or the Wharton Independent School District, responsible. I understand that I will be notified as quickly as I can be reached. I also understand that the League carries a medical insurance policy on players in the amount of $250,000.00 and I understand that I am responsible for the $100 insurance deductible.
LEAGUE PARTICIPATION AND SUPPORT The Wharton Babe Ruth League, Inc encourages active participation and support from all our parents, players, fans, and the community. Maintaining the Babe Ruth Program is an ongoing task and it is only through the dedication of hardworking volunteers, spending countless hours of their valuable time, which enables our program to be a success. Anyone wishing to volunteer their time to the League please contact one of the Board Members. Players and their parents/guardians are advised that a false statement of residence or school attendance may lead to
ineligibility to participate in Babe Ruth Baseball.
Registration Fee is $ 85.00 and is due, paid in full, at registration. New Players to the league must provide an original birth certificate or certified copy to the player agent, which will be returned. No player will be allowed to play without proper Birth Certification and full payment of fees. Registration Office: Coastal Warehouse, Ltd. 602 N. Sunset Street Wharton, TX 8:30am – 4:30pm Monday –Friday Or Mail to Wharton Babe Ruth P.O. Box 644, Wharton, TX 77488 Must be postmarked by April 8th. For Information contact: William Loocke @ 979-533-0148 _____________________________________________________ Signature of a Parent or Legal Guardian
_________________________ Date
Any player born prior to May 1, 2004 and on or after May 1, 2001 will be eligible for Babe Ruth 13-15 League competition. League Age as on May 1st. A 13-15 player that is new to the league must Attend One Try-out; only
exception is if he/she is currently playing HS Baseball or Softball DO NOT WRITE BELOW – FOR LEAGUE USE ONLY!!!
Date Form Received: Amount Paid:
Payment Type:
/
/
Received by:
$
Babe Ruth League Age: 13
Previous Team Assignment:
___ Cash
Date Payment Received:
___Check #
/
/
Received by:
___Other
14
15
Year:
Official Birth Date Verified: ___BC Birth Certificate Verified by:
___CCOPY
___ID on File
2017 Registration Form Wharton Babe Ruth League, Inc. P.O. Box 644 Wharton, Texas 77488 Online Registration: www.whartontxbaberuth.siplay.com
2017
13-15 Registration Form
th Registration Deadline: April 6Inc Late Feeyr. after AprilRegistration 6th is $10 Wharton Babe Ruth Baseball, 13-15 old th
Try-Outs: Sunday, April 9th 2:00 P.M. Monday, April 10 6:00 P.M. Draft: Wednesday, April 13th 1st Practice: April 14th
Shirt Size:____
Please Print In Ink or Type: Player’s Full Legal Name:
First:
Middle:
Name of School Attending: Player’s Telephone #:
Last:
Email:
(
Grade Classification: Date of Birth:
)
Current Age:
Mo/Day/Yr
Player’s Street Address ( Required)
City:
Zip Code:
Player’s Mailing Address:
City:
Zip Code:
Names of Player’s Parents/Legal Guardians: Parents/Legal Guardians Work Telephone #’s:
(
)
(
)
Player’s Physician:
Physician Telephone #
In Case of Emergency Contact:
Telephone #
Insurance Co. Name:
Policy or Group #
Insurance Co. Mailing Address:
Insurance Co. Telephone #
(
(
)
) (
)
AGREEMENT OF PARTICIPATION WITH THE WHARTON BABE RUTH LEAGUE, INC As a parent or legal guardian, my child, ________________________________________________, has my permission to participate in the Wharton Babe Ruth League Program. My child also resides/attends classes during traditional academic year within the boundaries of the Wharton Babe Ruth League, Inc boundaries. I understand that if my child has registered after the League’s deadline that he/she may not be guaranteed an immediate place on a team, but will be placed in a late sign-up pool. Furthermore, I understand that I will be responsible for the purchase of my child’s team pants, belt, socks and/or leggings. I also agree that my child will follow the League’s code of conduct, rules, and regulations as well as Babe Ruth International rules and regulations. Lastly, I understand and agree that if my child is selected to an All-Star Team, I am responsible for a non-refundable $30.00 All-Star fee, due payable upon the announcement of selection to an All-Star Team.
AFFIRMATION OF MEDICAL TREATMENT In order to make immediate treatment possible for all players, in case of an accident or illness, I hereby authorize a representative of the Wharton Babe Ruth League Association to use his or her judgment in obtaining immediate medical care. In case of injury or illness, I will not hold the Wharton Babe Ruth League, Inc and/or the Wharton Independent School District, responsible. I understand that I will be notified as quickly as I can be reached. I also understand that the League carries a medical insurance policy on players in the amount of $250,000.00 and I understand that I am responsible for the $100 insurance deductible.
LEAGUE PARTICIPATION AND SUPPORT The Wharton Babe Ruth League, Inc encourages active participation and support from all our parents, players, fans, and the community. Maintaining the Babe Ruth Program is an ongoing task and it is only through the dedication of hardworking volunteers, spending countless hours of their valuable time, which enables our program to be a success. Anyone wishing to volunteer their time to the League please contact one of the Board Members. Players and their parents/guardians are advised that a false statement of residence or school attendance may lead to
ineligibility to participate in Babe Ruth Baseball.
Registration Fee is $ 85.00 and is due, paid in full, at registration. New Players to the league must provide an original birth certificate or certified copy to the player agent, which will be returned. No player will be allowed to play without proper Birth Certification and full payment of fees. Registration Office: Coastal Warehouse, Ltd. 602 N. Sunset Street Wharton, TX 8:30am – 4:30pm Monday –Friday Or Mail to Wharton Babe Ruth P.O. Box 644, Wharton, TX 77488 Must be postmarked by April 8th. For Information contact: William Loocke @ 979-533-0148 _____________________________________________________ Signature of a Parent or Legal Guardian
_________________________ Date
Any player born prior to May 1, 2004 and on or after May 1, 2001 will be eligible for Babe Ruth 13-15 League competition. League Age as on May 1st. A 13-15 player that is new to the league must Attend One Try-out; only
exception is if he/she is currently playing HS Baseball or Softball DO NOT WRITE BELOW – FOR LEAGUE USE ONLY!!!
Date Form Received: Amount Paid:
Payment Type:
/
/
Received by:
$
Babe Ruth League Age: 13
Previous Team Assignment:
___ Cash
Date Payment Received:
___Check #
/
/
Received by:
___Other
14
15
Year:
Official Birth Date Verified: ___BC Birth Certificate Verified by:
___CCOPY
___ID on File
2017 Registration Form Wharton Babe Ruth League, Inc. P.O. Box 644 Wharton, Texas 77488 Online Registration: www.whartontxbaberuth.siplay.com
