Willamette Babe Ruth Registration 2020
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Player First Name *
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Player Last Name *
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Date of Birth *
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Player age as of April 30th, 2020 *
Player Street Address *
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Player City *
Player State *
Player Zip Code *
Player Gender *
Players Grade *
School currently attending *
Area High School of Residence *
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 Address *
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Parent #1 City *
Parent #1 State *
Parent #1 Zip Code *
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 Address
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Parent #2 City
Parent #2 State
Parent #2 Zip Code
Number of years in Babe Ruth
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Is your child interested in pool play??
Family Physician *
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List of Allergies *
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Required Medication *
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Family Medical Insurance Company *
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Family Medical Insurance Policy Number
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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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