Fall Ball Registration – Bear Creek Youth League

Player Name *

Age

Birthdate *

Gender *MaleFemale

Jersey Size *

Jersey Number *

Parents Name *

Email Address *

Phone *

Street Address *

Apartment, suite, etc

City

State

ZIP / Postal Code

Country

Would you like to volunter? If yes, in what capacity would you like to volunteer? *Assistant to coachCoachother

Signature *I/We recognize the fact that there is a possibility of serious injury in the participation in baseball and softball. I/We also realize the fact that protective equipment does not prevent all injuries to players. Therefore, I/We hereby waive, release, discharge, absolve, indimnify, and/or otherwise agree to hold harmless the Bear Creek Youth League, against any claim by or on behalf of myself or on behalf of this child in his/her participation in the program of the League. I/We agree that this child may be required to try out for a team. If the child does not attend tryouts, the Board Members must approve and place the child on a team. When requested by League officials, I will furnish a certified copy of the child's birth certificate.

Medical Release Form

Players Physician: *

Phone

Street Address *

Apartment, suite, etc

City

State

ZIP / Postal Code

Country

Primary Insurance Company Covering Player *

Policy Number *

Group Number *

Allergies *

Medication and Dosage *

Other Medical Conditions *

Date of Last Tetanus Shot: *

Signature *Upon signing this form I hereby release, discharge, and/or otherwise indemnify the Bear Creek Youth League, its sponsors employees, volunteers, and The Town of Oneida, and employees from any claim by myself or on behalf of the player in his/her participation in the programs and/or the transportation to and/or from the same. In case of a medical emergency, I hereby give my consent to have a doctor of medicine, or dentistry, an EMT, or other qualified person, or persons, provide this child with assistance and/for treatment. I also agree to be financially responsible for such treatment.