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Child #1
I would like to sign this child up for the 8 week baseball/softball clinic being taught at New Era Park in Blasdell for 10.00.
Child #1 – Name:
Child #1 – Jersey Size:
Choose Size
YS
YM
YL
YXL (Junior Boys Div. and Up)
AS
AM
AL
AXL
AXXL
AXXXL
Child #1 – Date of Birth:
Child #1 – Division:
choose division
Tee Ball (ages 5-6)
Coach Girls (ages 7-9)
Coach Boys (ages 7-9)
Junior Girls (ages 10-12)
Junior Boys (ages 10-11)
Senior Girls (ages 13-17)
Senior Boys I (ages 12-13)
Senior Boys II (ages 14-17)
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Child #2
I would like to sign this child up for the 10 week baseball/softball clinic being taught at New Era Park in Blasdell for $10.00.
Child #2 – Name:
Child #2 – Jersey Size:
Choose Size
YS
YM
YL
YXL (Junior Boys Div. and Up)
AS
AM
AL
AXL
AXXL
AXXXL
Child #2 – Date of Birth:
Child #2 – Division:
choose division
Tee Ball (ages 5-6)
Coach Girls (ages 7-9)
Coach Boys (ages 7-9)
Junior Girls (ages 10-12)
Junior Boys (ages 10-11)
Senior Girls (ages 13-17)
Senior Boys I (ages 12-13)
Senior Boys II (ages 14-17)
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Child #3
I would like to sign this child up for the 10 week baseball/softball clinic being taught at New Era Park in Blasdell for $10.00.
Child #3 – Name:
Child #3 – Jersey Size:
Choose Size
YS
YM
YL
YXL (Junior Boys Div. and Up)
AS
AM
AL
AXL
AXXL
AXXXL
Child #3 – Date of Birth:
Child #3 – Division:
choose division
Tee Ball (ages 5-6)
Coach Girls (ages 7-9)
Coach Boys (ages 7-9)
Junior Girls (ages 10-12)
Junior Boys (ages 10-11)
Senior Girls (ages 13-17)
Senior Boys I (ages 12-13)
Senior Boys II (ages 14-17)
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Volunteer Opportunities
I would like my child to play for a different team/coach than last year (check above).
I would be interested in coaching (check above).
I would be interested in assistant coaching (check above).
My child would be interested in umpiring (check above).
Parents are required to work one evening in the concession stand. I would like to pay a $25 fee to avoid helping in the concession stand. If left unchecked you are required to help 1 shift in the concession stand.
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Parent/Guardian – General Information
Fathers Name (first & last):
Mothers Name (first & last):
Legal Address:
Town/City:
Zip Code:
Phone #:
Email Address:
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Health Insurance Information
Insurance Provider:
Identification No.
Subscribers Name:
Sub. Place of Employment:
Emergency Contact (person):
Emergency Contact Phone #:
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Mandatory Acknowledgment/Waiver Agreement (MUST BE CHECKED AND INITIALED BY PARENT/GUARDIAN OR APPLICATION WILL BE REJECTED)
By checking below, I/We, the parents/legal guardians of the above named candidate(s) for a position on a SBBA team, hereby give my/our approval to participate in any and all SBBA League activities, including transportation to and from the activities. I/We know that participation in baseball or softball may result in serious injuries and protective equipment does not prevent all injuries to players, and do hereby waive, release, absolve, indemnify, and agree to hold harmless the South Buffalo Baseball Association (SBBA), the organizers, sponsors, supervisors, participants, and person(s) transporting my/our child (children) to and from activities for any claim arising out of any injury to my/our child (children) whether the result of negligence or for any other cause, except to the extent and in the amount covered by accident or liability insurance. I/We will furnish a certified birth certificate of the above named candidate(s) to League Officials. I/We also understand that our child (children) will be required to participate in the fund raising activities of the league. By checking and entering my initials you are agreeing that yourself and your children will act in a sportsmanlike manner at all times. You as parents, coaches, or participants will be subject to the disciplinary action set forth by the SBBA. Any ejections or suspensions will be made with the understanding that no registration fee will be refunded in full or part.
Acceptance of Acknowledgment/Waiver Agreement:
Yes
No
Parent/Guardian Initials (Mandatory):