NJJBA - 2009 10 to 14-Year-Old Early/Fall Tryout Registration

How Did You Hear About NJJBA?

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

Player Information (all fields are required)

Last Name:	First Name:	Middle:
Address:	City:	Zip Code:
Phone:	Email:

Parent/Guardian Information (if any info is same as above, please put 'Same' or leave blank)

Name 1:		Relationship:
Alt. Phone:		Email:

Name 2:		Relationship:
Alt. Phone:		Email:

Eligibility Information (* indicates required field)

DOB *:	League Age *:	(Age on April 30,2009)
School *:	Other? Please Provide *:
High School Area *: (Can be defined via residence address or attending Elementary/Middle School)
Last Year's Team/Coach
Birth Certificate on file with NJJBA? YES NO (If No, a copy of State Certificate of Live Birth MUST be provided)

League Information/Player Options

League Registering for:

No Refunds will be given for those who sign up and participate in the Fall/Early Tryout.
Additional tryouts will be held in the Spring of 2008.

Registration Options

	Option 1: New Player. Must Enter Tryouts
	Option 2: Enter Open Tryouts - Will NOT play for previous team
	Option 3: Enter Open Tryouts - If not selected to Higher Level, return to previous team
	Option 4: Return to Previous Team - Do Not Tryout (Note: Returning 0 League players may still need to tryout, depending on Coach)

Please Select a "0"/Major League Option:

WILL play "0"/Major League

WILL NOT play "0"/Major League

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.

By signing below, you hereby agree to the "Release and Authorization"

Parent/Guardian Signature:

Date: