Willamette Babe Ruth Summer Registration 2019
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Email address *
Player First Name *
Your answer
Player Last Name *
Your answer
Birthday *
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Player Age as of April 30th, 2020 *
Player's Street Address *
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Player City *
Player State *
Player Zip Code *
Players Gender *
Player's Grade *
School Currently Attending *
High School Affiliation *
Parent #1 First Name *
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Parent #1 Last Name *
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Parent #1 Email *
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Parent #1 Phone Number *
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Parent #1 Street Address *
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Parent #1 City *
Parent #1 State *
Parent #1 Zip *
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Parent #2 First Name
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Parent #2 Last Name
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Parent #2 Email
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Parent #2 Phone Number
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Parent #2 Street Address
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Parent #2 City
Parent #2 State
Parent #2 Zip Code
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Previous Baseball Experience *
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Pool Player *
Family Physician *
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List Allergies *
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Required Medications *
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Family Insurance *
Your answer
Family Insurance Policy # *
Your answer
Do you agree to the following:In case of an accident or illness, I hereby authorize a representative of Babe Ruth League, Inc to use his/her judgement in obtaining immediate medical care. Parents will be notified in case of serious illness as quickly as they can be reached, but this makes treatment possible. Furthermore, I consent to the above listed players image to appear in print, web and broadcast media with no expectation of compensation. I hold harmless Willamette Valley Babe Ruth Inc, and their respective area the player is assigned to, and fully understand the I assume the risks from any injuries or property damage suffered. *
Do you agree to the terms of the player/parent contract? This can be found at this website(https://oregonbaberuth.com/wp-content/uploads/2015/01/WVBR-Competition-Sportsmanship-Guidelines.pdf) *
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