PLAYER NAME D.O.B.

ADDRESS GENDER

CITY/ST/ZIP AGE

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PARENT OR LEGAL GUARDIAN #1 PARENT OR LEGAL GUARDIAN #2

EMERGENCY CONTACT INFO

EMERGENCY CONTACT INFO VOLUNTEER?

***A MEDICAL FORM MUST ACCOMPANY THIS REGISTRATION FORM***

•  I/WE, the parents/guardians of the above-named candidate for a position on a HYSA baseball team, hereby give my/our approval to participate in any and all organizational activities related to baseball.

•  I/WE know that participation in any sport may result in injuries and protective equipment dos not prevent all injuries to players. I/We hereby waive, release, absolve, indemnity, and agree to hold harmless HYSA, sponsors, supervisors, participants from any claim arising out of any injury to my/our child whether the result of negligence or for any other cause.

•  I/We agree to return upon request the uniform and other equipment issued to my/our child in as good conditions as when received for normal wear and tear.

•  I/We agree that our child(candidate) may be required to try out for a team. If such does not attend tryouts, the HYSA VP of Baseball and player agent will place the child where they seem fit.

•  I/WE agree to provide proof of legal residence if deemed necessary by VP of Baseball. I/WE understand that our child must be eligible under the residence and age regulations of HYSA and Little League Baseball to participate and that if any controversy arises regarding residency and or age, the decision of the HYSA Board of Directors shall be final and binding.

•  I/WE will furnish a certified birth certificate of our child to HYSA VP of Baseball if necessary.

•  I/WE understand that during the course of the season athletic pictures or videos may be taken by newspapers, television and/or posted on our website. The purpose of these photos and videos would be to recognize and publicize athletic achievement. The athlete’s name and participation in HYSA sanctioned activities MAY BE publicized. No other data will be divulged.

SIGNATURE______DATE______