registartion 2017 - Polson Youth Baseball

POLSON BASEBALL REGISTRATION 2017
Complete the entire form and sign. By signing you acknowledge you have read the Consent for Treatment section and
Parent/Guardian Letter (located on the backside of this form or available online www.polsonbaseball.org).
REGISTRATION:
Player Sign-ups will be February 28th and March 2nd from 5 p.m. to 7 p.m. each evening at the Polson
Middle School Cafeteria. Registrations may be mailed with payment and, if a new player to the league, a
copy of Birth Certificate to POLSON BASEBALL, PO BOX 1304, POLSON, MT 59860. Mailed registrations
must be received by March 9th, 2017.
*You must include payment or the registration form will not be processed. If you are registering a new player to the league, you
must present a Birth Certificate. Thank you.
Player Information
Name:
Date of Birth:
Gender:
Address:
Male
Female
Ethnic/Race Background**:
**optional information – not required to answer
Age of Player as of May 1, 2017 __________
Check age group of Player
T-Ball
Rookie
Minor
Major
Babe Ruth
5-6 years old
7-8 years old
9-10 years old
11-12 years old
13-15 years old
$50.00
$60.00
$65.00
$70.00
$85.00
School Attending:
Years Played:
List any Allergies:
Medications Required:
Insurance Company:
Provider Number:
Please circle the size your player wears
Shirt (All Age Groups):
YOUTH Small Medium Large X-Large
ADULT Small Medium Large X-Large
Pants (Minors, Majors, and Babe Ruth Only):
YOUTH Small Medium Large X-Large
ADULT Small Medium Large X-Large
Please be advised there are no refunds after March 9th due to uniform orders/roster costs
Parent/Guardian Information
Name:
Address (if different from player address above):
Preferred Contact Phone:
Alternate Contact Phone:
Email:
Emergency Contact
Name:
Relationship to Player:
Phone:
CONSENT FOR TREATMENT
I understand that there are inherent risks in playing the sport of baseball. Injuries include minor sprains and strains, fractures, eye
injuries, concussions, paralysis or even death. I acknowledge that my son/daughter is participating in Polson Youth Baseball (PYB).
I also understand that PYB will provide major medical insurance with a $100.00 deductible for treatment of injuries sustained
while participating in organized practices or games. I further understand that no coach, umpire, or member of PYB Board will be
financially responsible for any injuries that occur. By signing below, I have read the above statement and understand the risks. I
also herby authorize a representative of PYB to use his/her judgment in obtaining immediate medical care for my child if there is
an accident/injury and I cannot immediately be reached.
Parent/Guardian: ______________________________________ Date: ___________________________
PYB ADMINISTRATION ONLY:
Birth Certificate Verified: YES NO
Paid at Registration? YES NO
Check #____________M/O ____________Cash Receipt#____________
POLSON BASEBALL – PARENT/GUARDIAN LETTER 2017
Dear Parent(s)/Guardian(s),
Polson Baseball would like to thank you for the time and support you give while your child participates
in this program. The League Board is committed to making this as rewarding as possible for the kids.
Your help is important to us and very much appreciated. This includes getting your player to and from
games and practices on time. We also ask that you and your player please commit to the entire spring
baseball season, including the end of the year tournaments.
We expect a lot out of our coaches and umpires. We also expect a high level of good behavior and
participation from the players and parents. Please encourage positive comments at all times and
discourage negative comments towards other players, coaches, umpires, board members or other
volunteers. Remember this is a volunteer organization. Please feel free to volunteer and help out. The
more participation we get from all involved the better our league will be. If volunteering is something
you would like to do, please fill out a Coach/Assistant Coach/Volunteer Application (all the same
application) and let us know how you would like to help. Note: As of 2014, Babe Ruth League, Inc. is
requiring background checks on all volunteers.
Equipment and uniforms are very important to the safety and enjoyment of the game. Please take extra
care of them. The league will issue uniforms, bats, batting helmets, catchers gear and baseballs to each
team manager. Equipment must be turned in at the end of the season. Remember that equipment costs
money and having to replace equipment that has been lost, misplaced, or abused is a major expense to
the league. Players must provide their own fielding gloves. Players may use their own bats, provided
they meet the acceptable Babe Ruth regulations. Bats will be inspected. Any bat that cannot be
identified as a legal bat will be removed. Additional equipment not provided by PYB includes athletic
supporters and athletic protective cups which are required for boys playing the catcher position. No
exceptions. Shoes with metal cleats are not permitted in Cal Ripken leagues (t-ball, rookies, minors, and
majors). Metal cleats are acceptable in the Babe Ruth leagues ages 13 – 15. Players are not permitted to
wear jewelry. Medical alert bracelets may be worn but must remain visible. Please help keep children
from climbing or hanging on the chain link fences.
Candy Bar Fundraiser: Polson Baseball’s main fundraiser is selling chocolate candy bars. This money is
used toward equipment, field maintenance and umpires. Candy bars will be distributed to players by
coaches after team selection. Candy bar money will need to be collected by coaches and turned in at a
date to be determined. We encourage players to sell all the assigned candy bars themselves with an
explanation of how it supports their participation.
If you have any questions please do not hesitate to ask a board member and visit our website at
www.polsonbaseball.org for further information. You can also follow along the season on FaceBook at
Polson Baseball. We will be posting information throughout the season. We look forward to having
another successful season. Play Ball!!!
Polson Baseball Board