North Syracuse 
Babe Ruth
P.O. Box 5356
Syracuse, NY 13220

NORTH SYRACUSE BABE RUTH LEAGUE INC.

PO Box 5356 Syracuse, NY 13220-5356  

website: northsyracusebaberuth.org

 

2017 Player Registration Form   

 Fee: $150                                                                  League Age ________



Name: ____________________________________  Date of Birth ______________


Address:________________________________________________________________


Home Phone #: _____________________


Parents/Guardians: 

Name: ____________________  Cell: ______________ Email:________________


Name: ____________________ Cell: ______________ Email:________________


Will player be on another summer team (School, Travel, Other)? yes   no

 
Emergency Contact & Phone Number: __________________________________________________


List any medical conditions/allergies: ____________________________________________________

(Optional) Please list how you heard about the Babe Ruth League:  (i.e. website, school, referred by a friend etc.)
____________________________________________________


Select Uniform Size (all adult)   S   M   L   XL

 

Uniform number choice (provide 3):   ____   ____   _____

 

WAIVER OF LIABILITY AND DISCLAIMER

I/We, the parents of the above named candidate for a position on a North Syracuse Babe Ruth League Inc team hereby give my/our approval to participate in any and all League activities, including transportation to and from activities. I/We know that participation in this activity may result in a serious injuries and protective equipment does not prevent all injuries to players, and do hereby waive, release, absolve, indemnify and agree to hold harmless NORTH SYRACUSE BABE RUTH LEAGUE, INC, Babe Ruth Baseball League officials, members, the organizers, sponsors, participants and persons transporting my/our child to and from activities for any  claim arising out of any injury to my/our child 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 agree to return upon request the uniform and other equipment issued to my/our child in as good condition as when received except for normal wear and tear. I/We will furnish birth certificate of the above named candidate to League officials.   

 

Father/Guardian’s Signature ___________________________  Date ____________


Mother/Guardian’s Signature ___________________________ Date ____________

 

EMERGENCY MEDICAL AUTHORIZATION

I the undersigned, parent or legal guardian of the participant, a minor, hereby authorize the managers, coaches, or parents of team members acting in the capacity of activity supervisors/vehicle drivers, as my Agents, to consent to medical, surgical or dental examination and/or treatment. In case of emergency I hereby authorize treatment and/or care by any qualified, licensed physician who is available.

 

Signed: ______________________ Date: __________ Ins. Carrier ___________


Witness: _____________________ Date: ___________ Policy # ____________


 

PHOTO RELEASE FORM FOR MINOR CHILDREN

 

I hereby authorize North Syracuse Babe Ruth to publish the photographs taken of me and/or the undersigned minor children, and our names, for use in North Syracuse Babe Ruth’s printed publications, website, and Facebook.

 

I release North Syracuse Babe Ruth from any expectation of confidentiality for the undersigned minor children and myself and attest that I am the parent or legal guardian of the children listed below and that I have the authority to authorize North Syracuse Babe Ruth to use their photographs and names.

 

I acknowledge that since participation in publications and websites produced by North Syracuse Babe Ruth is voluntary and non-profit, neither the minor children, nor I will receive financial compensation.

 

I further agree that participation in any publication and website produced by North Syracuse Babe Ruth confers no rights of ownership whatsoever. I release North Syracuse Babe Ruth, its contractors and its board, volunteers, and parents from liability for any claims by me or any third party in connection with my participation or the participation of the undersigned minor children.

 

 

Signature: ________________________________ Date: ______________


Street Address: ________________________________________________________

 

City, State, Zip: _______________________________________________________

 

 

Names and Ages of Minor Children:

 

Name: ______________________________________ Age: _____

 

Name: ______________________________________ Age: _____

 

 

UNIFORM WAIVER

 

I understand that should my child need to withdraw from the league prior to the league start date, I will receive full refund less the $30.00 uniform fee.

 

Signature: _______________________________ Date: ______________

 


COPY OF BIRTH CERTIFICATE IS REQUIRED FOR ALL NEW PLAYERS.



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