CITY OF SACRAMENTO, DEPARTMENT OF PARKS AND RECREATION
ACCESS LEISURE, 5735 47TH AVE. SACRAMENTO, CA 95824
TELE: (916) 808-6017 FAX: (916) 808-3559
WWW. ACCESSLEISURESAC.ORG
RIVER CATS INDEPENDENCE FIELD BASEBALL PROGRAM
SPRING 2017 REGISTRATION
Athlete’s Name___________________________________________ M
F
Date of Birth: ________
Age _____ Parent/Guardian ____________________________________________________________
Address ______________________________________ City__________________ Zip_____________
Day Phone ____________________ Evening Phone __________________ Cell __________________
Email Address _______________________________________________________________________
Type of Mobility (please bring all devices that will be used):
Wheelchair:
Manual
Power
I would like to use one of Paralympic Sport Sacramento’s Sport Wheelchairs during RCIF Youth baseball games
Other Devices:
Braces/Crutches
Walkers
Uses No Devices
Diagnosis and Disability: _____________________________________________________________________
2017 RCIF Spring Baseball Program schedule (*age as of Saturday April 5, 2017)
*10:00 AM Practice/ 11:00am Game Time ages 5-13
On Line Barcode # 169927
*12:00 PM Practice /1:00pm Game Time ages 14 and older
On Line Barcode # 169928
Opening Day Saturday April 15, 2017
Scheduled Games on Saturdays April 22 (No practice April 29- Wheelchair Giants try-outs)
(No practice on May 6th – Baseball for All) May 13, 20 & June 3, 17
(No practice on June 10th – Adaptive swim event at Pannell Pool)
Saturday June 24 - Final Game, Awards Presentation and Celebration Party
T-Shirt Size:
Youth Sizes:
Fees:
Small
Medium
Large Adult Sizes:
Small
Medium
Large
XL
XXL
Registration fee is $20 per player. (Make checks payable to-”City Of Sacramento”)
Total enclosed $_______ *Scholarships available-call Jenny Yarrow for more information
FOR OFFICE USE ONLY:
Cash
Check #______ Date_______ Received by: ___________
Liability Release
The undersigned, in consideration of the acceptance of this entry, I hereby waive, release and indemnify the City of Sacramento,
Access Leisure, sponsors, staff, and volunteers from any and all liability for injuries and/or expenses incurred by myself at the River
Cats Independence Field Baseball League. In case of accident arising out of the said activity, medical assistance may be administered
to the registrant of this activity.
Media Release
I specifically grant permission to the River Cats Independence Field Baseball League to use my likeness, voice and words in television,
radio, newspapers, films, magazines, and media of any form not heretofore described to further the aims of the River Cats
Independence Field.
______________________________________________
Signature of athlete, or guardian if under 18 yrs/ old
_____________
Date Signed
MAIL FORM TO: Access Leisure - Coloma Community Center 4623 T Street, Suite B,
Sacramento, CA 95819