$75.00 for one child, $70.00 for each additional child (brother and
sisters only)
You must pay when you sign up. Your child is not registered to play
and uniform cannot be ordered until the amount is paid in full.
Name:
Date of Birth:
Home Phone:
Cell Phone:
Parent/Parents:
Other contacts:
I/We, the parents of the above named child, hereby give my/our approval to his/her
participation in any and all of the activities of the Pineywoods Baseball Association
and all of its member towns, during the current season. I/We assume all risks and
hazards, incidental to the conduct of the activities and transportation to and from
the activities. I/We do further hereby release, absolve, indemnify, and hold harmless
the Pineywoods Baseball Association and all of its member towns, the organizers,
sponsors, or any individual associated with the Pineywoods Baseball Association. In
case of injury to my/our child, I/We likewise waive all claims against the Pineywoods
Baseball Association and all of its member towns, the sponsors, or any supervisors
appointed by them. I/We likewise release from responsibility any person
transporting my/our child to or from the activities. I/We will furnish a copy of the
birth certificate of the above named candidate upon registration.
***Parent/Guardian Signature***
Date
888888888888888888888888888888888888888888888888888888888888888888
88888888888888888
For Pineywoods Baseball Use Only:
Shirt Size:
Youth Small
Youth Medium
10)
Youth Large
13)
Shirt Size:
Sock Size:
Adult Small
Adult Medium
Adult Large
Adult X-Large
Adult 2X Large
Small (11-4)
Medium (4Large
(10-
Amount Paid: $
Check/Cash
Birth Certificate:
Number:
*********************************************************************************
****
League:
_____ TBall (ages 4 6)
& 13)
_____ Farm (ages 7 & 8)
_____ PeeWee (ages 9, 10, & 11)