Hambden Baseball Registration Form
Please make checks payable to : Hambden Baseball
If registering by mail, send check and completed registration form to : Hambden Baseball
42 Wayne Lane
Chardon, OH 44024
1. A $10.00 late fee will be charged for registrations postmarked after March 1, 2012
2. Registration fees are listed below. If 2 or more players in the same immediate family are enrolling, the maximum fee is $170.00.
3. Deadline for all sign-ups is March 15, 2012 so that teams can be finalized for practices starting in April.
4. League age is determined by each players age on April 30, 2012.
Please fill in all the information below. Each individual player must fill out an individual registration form.
LEAGUE TEAMS : the teams will be organized into the following age categories.
(Please check player's expected division for the 2012 season)
__________ T-Ball Ages 5 & 6 $50.00 _________ Pony Ages 13 & 14 $90.00
__________ Farm Ages 7 & 8 $60.00 * 13 & 14 year olds are eligible regardless of grade
__________ Minor A ges 9 & 10 $70.00 15 year olds are eligible but must be in the 8th grade or less - cannot pitch
__________ Major Ages 11 & 12 $80.00 _________ Colt Ages 15 & 16 $130.00
Division / Coach's name from previous year : _________________________________________________________________________________________________
PLEASE PRINT CLEARLY :
Players Name : _____________________________________________________________________________________ Age as of 4/30/12: ____________________
Address : ______________________________________________________________________________________________________________________________
City : ______________________________________________ State : ____________________ Zip Code: _________________________________________
Home Phone ( ) ________________________________________ Date of Birth: _____________________________________________________
Mother (Guardian) Father (Guardian)
Name: _________________________________________________________ ___________________________________________________________
Cell: ( ) _________________________________________________ Cell: ( ) ______________________________________________
E-mail: ________________________________________________________ E-mail: ___________________________________________________
Please indicate players size:
| SHIRT |
Youth: |
S (4-6) |
M (8-10) |
L (12-14) |
|
|
| |
Adult: |
Small |
Medium |
Large |
X Large |
XX Large |
**** Shirts tend to run a bit short in length, so take this into consideration when ordering
| PANTS |
Youth: |
Small |
Medium |
Large |
X Large |
|
| |
Adult: |
Small |
Medium |
Large |
X Large |
XX Large |
**** Pants are property of Hambden Baseball and must be returned at the end of the season.
If they are not returned, you will be charged for the cost of a new pair of pants.
Would you be itterested (or know anyone interested) in any of the following:
____________ Head Coach ____________ Assistant Coach ___________ Field Maintenance
Name of person interested : __________________________________________________________________________________
This is to certify that I, parent of ________________________________________________________________________ a player in |
Hambden Baseball League, hereby grant permission to the adult manager, coach and business manager of the team to obtain care
from any licensed physiciian, hospital or medical clinic for the player named herin at such times as either parent or legal guardian
cannot be contacted in person or by phone. This authorization shall include all league activities, including the period required to travel
to and grom those activities; and we do hereby waive, release, absolve, indemnify and agree to hold harmless the Hambden Baseball
League, the organizers, coaches, supervisors, participants and persons transporting the player to and from those activities for any
claom arising out of an injury to the player.
Signed: ____________________________________________________________________ Date: ________/________/________
*** No refunds will be given once uniforms are ordered ** ** There ill be a $10.00 returned check fee **
HBL use only: Paid by: Cash / Check No. __________________ Amount: $_______________ Date: ___________
