Willamette Babe Ruth Registration 2021
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Email *
name *
LAst name *
birthdate *
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Player Age as of April 30th, 2021 *
address *
Player City *
Player State *
Player Zip Code *
Players Gender *
Player's Grade *
School Currently Attending *
High School Affiliation *
parent name *
last *
email *
number *
address *
Parent #1 City *
Parent #1 State *
97404 *
Parent #2 First Name
Parent #2 Last Name
Parent #2 Email
Parent #2 Phone Number
Parent #2 Street Address
Parent #2 City
Parent #2 State
Parent #2 Zip Code
Previous Baseball Experience *
Pool Player *
dr *
n/a *
n/a *
insurance provider *
insurance # *
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) *
date
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A copy of your responses will be emailed to the address you provided.
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