NCBSA Spring 2017Mail in Registration Form & Parents Waiver Form

NCBSA Spring 2017 Baseball and Softball Registration Form

Welcome to the 2017 Registration. Please print clearly and complete all fields, and refer to the programs and fee schedules on the Registration Page of our website. Please sign the Insurance waiver, and mail the completed form with your payment to the address below.

Our website is NCBSA.net and Volunteers are needed!

Both you and your child need to read and sign the Parents and Players Code of Conduct available on our web site Registration Page, and it should be kept by you as an important reference and reminder about the sportsmanship that is expected by all parents and players.

Player's First Name
Player's Last Name
Sex ( M – F )
Birth Date
Present School Grade
Program TBall/ BB/ SB
Residence Lives with: Both/Father/Mother
Father's First Name
Father's Last Name
Father's First Address Line
Father's City
Father's State
Father's Zip Code
Father's Home Phone Number
Father's Cell Number
Primary Email Address
Father's Volunteer Items
Please pick one - Head Coach, Assistant Coach, Equipment Distribution, or Opening Day Activities
Mother's First Name
Mother's Last Name
Mother's First Address Line
Mother's City
Mother's State
Mother's Zip
Mother's Home Phone Number
Mother's Cell Number
Secondary Email Address
Mother's Volunteer Items
Please pick one: Head Coach, Assistant Coach, Equipment Distribution, or Opening Day Activities
Registration Amount
Sponsor Amount
Sponsor Team Request
( Names for back of Jersey)
Waiver and Code of Conduct has been read and agreed.

Important! Your Registration is not complete until we receive your payment. Please make your check payable to NCBSA and mail it to: NCBSA, PO Box 402, Chappaqua, NY10514.

Please review the waiver below, and sign where indicated.

Additionally, submitting this registration confirms to us that you have read, understood and signed the Parents and Players Code of Ethics, and discussed good sportsmanship with your child.

WAIVER

I/We, the parents and or guardian of the named candidate for a position on an NCBSA team, hereby give my/our approval to participate in any and all league activities. I/We assume all risk and hazards incidental to such participation, including transportation to and from the activities; and I/we do hereby waive, release, absolve, indemnify and agree to hold harmless the NCBSA, the NCBSA Directors, the chartering organization, the organizers, sponsors, participants and persons transporting my/our child to and from activities, for any claim arising out of an injury to my/our child, whether the result of negligence or from any other cause, except to the extent and in the amount covered by accident and liability insurance. I/We understand that the insurance carried by this league covers only the amount that is not paid by my/our carrier. I/We will furnish a certified birth certificate of the above named candidate to league officialsif requested.

Signature______Date ______

Signature______Date ______

NCBSA Spring 2017 Mail in Registration Form (1) Page 1 of 210/23/2018