NJJBA - Player Registration Form

North Jefferson Junior Baseball Association

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8-and-Under Program

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Arvada Weather Forecast, CO (80005)

LAST UPDATED:
June 26, 2010 12:04 PM

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Fall Baseball Player Registration Form

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Player Information

First Name:
Last Name:
Street Address:
City:
State:
Zip Code:
Primary Phone:
Alternate Phone:
Primary Email:
Alternate Email:

Parent/Guardian Information

First Parent/Guardian
First Name:
Last Name:

Second Parent/Guardian
First Name:
Last Name:

Player Eligibility Information

DOB:
League Age:

Fall Program Options

Please Select a Fall Baseball Option
Fall Program Options:

Special Requests
Special Request:

Shirt Size

Please Select a a Shirt Size
Shirt Size:

How Did You Hear About NJJBA?

Please let us know how you have heard about our Association:

Additional Comments

Release and Authorization

I/We the parent(s) or guardian(s) of the above named candidate for a position on a North Jefferson Junior Baseball Association (NJJBA) team, hereby give my/our approval to participate in any and all league activities. I/We understand that it is our responsibility to notify league officials of any change in medical conditions or concerns. I/We know that participation in baseball may result in serious injury or death and protective equipment does not prevent all injuries to players and do hereby waive, release, absolve, indemnify and agree to hold harmless the NJJBA, Jefferson County Junior Baseball League, North Jeffco Parks and Recreation, City of Arvada, City of Westminster, Jefferson County School District, the organizers, sponsors, participants and persons transporting my/our child to and from activities for any claim arising out of injury to my/our child whether the result of negligence or for any other cause, except to the extent and in the amount covered by accident or liability insurance. I/We also grant permission to managing personnel to authorize and obtain medical and/or dental care or treatment from any licensed physician, hospital or medical clinic should my child become ill or injured while participating in any Association or League activities when neither parent nor guardian is available to authorize emergency treatment.

Guardian Signature:
Date:

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