Blytheville Baseball/Softball Boosters
2017 League Registration Form
Player’s Name: ____________________________ Phone: ___________ Phone: ________________
Physical Address: ___________________________________________________________________
City: _____________________________ State: ____________ Zip: _________________
Email Address: _____________________________
Parent/Guardian’s Name: ___________________________________ Work Phone: ______________
Birthday: _________________ Grade: __________ Attends School At: ________________________
Baseball Playing age on April 30, 2017: _______ Softball Playing Age on December 31, 2016 _______
Any medical conditions (ex.: asthma, etc.) that your child’s coach needs to be made aware of?_________
Uniform Shirt information: Child XXS(4) XS(5) S(6-8) M(10-12) L(14-16) XL (18-20)
Adult S M L XL XXL 3X and 4X
Registered by _____________________ Birth Cert. _____ League Assignment __________
Amount Paid _____________ Cash or ____________D/C Card
NOTE TO PARENTS
· BBSB uniform policy provides that BBSB will furnish a player’s shirt and cap. Parents will purchase belts, socks and pants. At the end of the season players may keep their entire uniform.
· COACHING OPPORTUNITIES AVAILABLE!!!
· There will be several tournament travel teams that will play in some weekend tournaments
I hereby authorize BBSB to obtain immediate medical treatment if deemed necessary ___YES ___NO
In order to maintain a quality, wholesome, and family atmosphere, I do commit my child, my family, and myself to conduct ourselves in a respectable and cordial fashion towards umpires, coaches, league personnel, players and other spectators. I agree to abide by the rules of the Blytheville Youth Sportsplex facilities and all league rules as established by the Blytheville Baseball/Softball Boosters. I understand that if I do exhibit verbally or physically abusive, belligerent, disrespectful, uncooperative behavior or other conduct that is deemed inappropriate, I may be penalized up to and including removal from the Blytheville Youth Sportsplex for the duration of the entire 2017 regular and post-season play.
Print Name (Parent or Guardian) Signature