YOUGH BASEBALL

FOR ALL KIDS IN THE YOUGH SCHOOL DISTRICT

Player Registration 2018 Spring Baseball Season

Player Information (Please complete EVERY section)

Last Name First Name Middle DOB (mm/dd/yy)
Initial

Address City

Township or Municipality State Zip

Parent/Guardian One Parent/Guardian Two

Name (Last, First) Name (Last, First)

Address (if different) I am interested Address (if different) I am interested in:

in:
Head Coach
e-Mail Head Coach e-Mail Asst. Coach
Asst. Coach Team Parent
Team Parent Field Maint.
PHONE PHONE
Field Maint. ConcessionCom
ConcessionCom
Responsibility Clause
Locality Determination As the parent or legal guardian, I agree to be present or have an appointed
Player placement is determined by the elementary school family member or friend in attendance for all games/practices/events. If I am
unable to stay for the duration of the event or must leave for a brief period of
the child attends, will attend for kindergarten, or time, I agree to inform my childs head coach and to provide him a contact
previously attended prior to middle school. Please check number in case of an emergency. I will be responsible for the return of all
the correct elementary school: uniforms and equipment regardless of condition. I understand that my child
must participate in all League fundraisers. If the money is not paid for these
fundraisers, I understand that legal and disciplinary measures may be taken.
HW Good Elementary Initial _______ _______
Mendon Elementary Liability Waiver
West Newton Elementary I the parent/legal guardian of the above named child, hereby give my approval
Other_______________ for my child to participate in activities sponsored by the league during the
current season. I the parent/legal guardian assume all risks and hazards
Player Fees incidental to the conduct of the activities and transportation to and from the
activities. I do hereby release and hold harmless the league and its affiliates,
Make checks payable to organization determined by the organizers, sponsors, officers, and supervisors appointed by them. I
elementary school: likewise release from responsibility any person transporting my child to or
from these activities. I will furnish a certified birth certificate upon request.
HW Good- Yough/Westmoreland Little League All photos, info, stats can be used by the league for newspaper printing
purposes.
Mendon- Smithton Athletic Association Initial _______ _______
West Newton Elementary- WNRB
Signature of Parent(s) or Guardian(s)
T-Ball thru Coach Pitch (up to age 8): No Fee
______________________________________ Date____________
Age 9 thru 12: $25.00
Age 13 and up: $50.00 ______________________________________ Date____________

Emergency Contact Official Use Only:

Note method of payment and/or check number:
Name: ________________________________________________ Date of Receipt ________________
Registration Check # ____________
Phone #: ______________________________________________ Name of check provider if different than
above:______________________
Relationship to Player:___________________________________ Do you have medical insurance?
Shirt Size Hat Size: Age determination for baseball is based on actual age on
YS YM YL YXL
August 31, 2018.
AS AM AL AXL Number choice:

Pants Size ______ _______ Check the Baseball League Age for Spring 2018
YS YM YL YXL 4 thru 6 11 & 12
AS AM AL AXL ______ 7&8 13 & 14
9 & 10