T-BALL, COACH PITCH, MACHINE PITCH, MAJORS BASEBALL, AAA BASEBALL CHOOSE
4-5 Yrs 6-7 Yrs 8-10 Yrs 11-13 Yrs 14-15 Yrs
Coed T-Ball Coed Coach Pitch Coed Baseball Boys Baseball Boys Baseball
$55 $55 $75 $90 $100
Monday & Wednesday Tuesday & Thursday Machine / Player Pitch Player Pitch Player Pitch
ONE FORM PER PLAYER -- PRINT CLEARLY
RETURNING PLAYER
PLAYER NAME:
2017 2017Sign SignUp UpDates: Dates
BIRTH DATE:
Saturday 21 January: 9am - Noon Thursday 26 January: 6:30-8:30pm Saturday 28 January: 9am - Noon Thursday 2 February: 6:30-8:30pm Saturday 4 February: 9am - Noon Saturday 11 February: 9am - Noon PLAINFIELD TWP OFFICE (Rear Entrance) 6161 Belmont Ave, Belmont, 49306 LATE SIGN UPS END: 11 MARCH 2017 Mail In Form & Check To: Wolverine Youth Baseball, LLC 263 Adolph St, Rockford, MI 49341
[email protected] AGE BEFORE 1 July 2017:
PARENT / GUARDIAN
ADDRESS: CITY:
ZIP: OTHER
PRIMARY
E-Mail ADDRESS:
PLAYER'S SHIRT SIZE: PLAYER'S SCHOOL: GENDER:
Female
GRADE: Male
YEARS of PLAYING:
WAS YOUR PLAYER WITH WOLVERINE BALL LAST YEAR?
YES
DO YOU WANT YOUR PLAYER TO REMAIN WITH THE SAME TEAM? DO YOU HAVE OTHER PLAYERS IN THE SAME DIVISION?
YES
NO
TEAM:
YES
NO
NO
(We will keep siblings together)
NOTE: The coaches draft players in the 8-10 division and older. You may note if you would like to try to keep friends together and the coaches will do their best. We cannot promise team assignments. YES
DOES YOUR PLAYER HAVE ANY MEDICAL CONDITIONS THE LEAGUE SHOULD KNOW ABOUT?
CS/6-8 CM/10-12 CL/ 14-16 Adult Small Adult Med Adult Large Adult XL Adult XXL
NO
In the event of a medical emergency involving my player when I am not present, I authorize the following person(s) to act on my behalf. If none, please write NONE. NAME:
CONTACT NUMBER: YES
In the event that the above named cannot be reached, I authorize my player's head coach to act on my behalf
NO
By signing below, I certify that it is with my knowledge and consent that my player participate in practices and games for Wolverine Youth Baseball, LLC, during the current season and that my player, family, and friends in attendance will conduct themselves in a sportsman like behavior. I will not hold Wolverine Youth Baseball, LLC league, officers, coaches, sponsors, or game officials responsible for any injury that my player may sustain while engaged in practicing and/or playing in the league, and hereby indemnify the league from any damages or claims by my player or myself. I also give permission for my player's team and/or individual photographs that may be taken during the season to be posted on Wolverine Youth Baseball, LLC web site or other social media outlets. No refunds will be given after the registration form is received by Wolverine Youth Baseball, LLC. At the discretion of a game official, or the office of the Commissioner of Wolverine Youth Baseball, LLC, unsportsman like conduct may result in the dismissal of any player, family member, or friend for the remainder of the seasaon without refund.
Parent / Legal Guardian Signature Required I WILL: CASH:
HEAD COACH
ASS'T COACH
CHECK:
Date SPONSOR a TEAM
TOTAL PAID:
YOUR NAME: WEEK: