2018 Fall Ball Registrations
Player Name *
First & Last Name
Your answer
Player Age/Grade in School *
PBC bases it's teams on year in school. So please register based upon your 2018/19 school grade.
Player School Currently Attending *
Your answer
High School Grad Year *
Your answer
Player Address *
Your answer
City, State *
Your answer
Zip Code *
Your answer
Player Email *
Your answer
Parent or Secondary Email *
Your answer
Player Phone Number *
Your answer
Player Positions *
Check all that apply
Required
Player Shirt Size *
Player Hat Size *
I authorize Portland Baseball Club to act for me and arrange emergency attention if the need requires. Responsibility for treatment is covered by family insurance. *
Insurance Company *
Your answer
Policy Number *
Your answer
Group Number *
Your answer
Subscriber Name *
Your answer
Parent/Emergency Contact Number *
Your answer
I/We hereby waive and release Portland Baseball Club or its agents, heirs and assigns, from any and all libability out of or in connection with and participation in a Portland Baseball Club event. *
MM
/
DD
/
YYYY
Parent Signature *
Your answer
How did you learn about the PBC Fall League? *
Special Requests
If you have friends signing up and want to be placed on the same team, please list their names below. Also list any other special requests for team placement.
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms