Blytheville Baseball/Softball Boosters

2017 League Registration Form

 

Playerís Name:  ____________________________  Phone:  ___________  Phone:  ________________

 

Physical Address:  ___________________________________________________________________

 

City:  _____________________________  State:  ____________   Zip:  _________________

 

Email Address: _____________________________

 

Parent/Guardianís 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 childís 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 playerís 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

          

MEDICAL CONSENT

I hereby authorize BBSB to obtain immediate medical treatment if deemed necessary ___YES  ___NO

 

CONDUCT STATEMENT

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