ADDRESS: _____________________________________________
_______________________________________________________
EMAIL ADDRESS:_____________________________________________
HOME #:_________________
CELL #:__________________
ADULT VOLUNTEER POSITION: (Write in position and age group of your interest.)
_____________________________________________
_____________________________________________
Please list all children playing (ages 3 through high school). If you would like to buy a shirt and/or hat, put the size shirt your child wears. All shirts will be the same color. If you already have shirts that fit, the color is not important. Sizes are child’s small, medium, or large, or adult small, medium, large, or extra large. Child’s name & gender, Birth date and Shirt size (Hat's are all one size)
| NAME: ___________________________ | GENDER: (M) (F) BIRTHDATE:_____________ | SHIRT: Child-(S) (M) (L) Adult-(S) (M) (L) (XL) | HAT: (Y) (N) |
| NAME: ___________________________ | GENDER: (M) (F) BIRTHDATE:_____________ | SHIRT: Child-(S) (M) (L) Adult-(S) (M) (L) (XL) | HAT:(Y) (N) |
| NAME: ___________________________ | GENDER: (M) (F) BIRTHDATE:_____________ | SHIRT: Child-(S) (M) (L) Adult-(S) (M) (L) (XL) | HAT:(Y) (N) |
| NAME: ___________________________ | GENDER: (M) (F) BIRTHDATE:_____________ | SHIRT: Child-(S) (M) (L) Adult-(S) (M) (L) (XL) | HAT:(Y) (N) |
| NAME: ___________________________ | GENDER: (M) (F) BIRTHDATE:_____________ | SHIRT: Child-(S) (M) (L) Adult-(S) (M) (L) (XL) | HAT:(Y) (N) |
| NAME: ___________________________ | GENDER: (M) (F) BIRTHDATE:_____________ | SHIRT: Child-(S) (M) (L) Adult-(S) (M) (L) (XL) | HAT: (Y) (N) |
| NAME: ___________________________ | GENDER: (M) (F) BIRTHDATE:_____________ | SHIRT: Child-(S) (M) (L) Adult-(S) (M) (L) (XL) | HAT:(Y) (N) |
For 13-18 boys: Please indicate your preference:
[ ] Coed Softball
[ ] Boys Baseball
REGISTRATION FEE: $10 per child $13 per child after August 24th.
SHIRT: $5 per shirt
HAT: $5 per hat
TOTAL ENCLOSED: ______________
Make checks payable to Homeschool Baseball. Send all forms and payments to:
Homeschool Baseball
c/o Nancy Pritchett
130 Westwood Drive
Marietta, GA 30064
* Checks will not be deposited until after the first day of ball.
HOMESCHOOL BASEBALL FALL 2009
Statement of Agreement
We the undersigned parent/guardian of: (please list all children playing)
__________________________________________________________________________________________________________
Realize our children are participating in Homeschool Baseball at their risk. We assume full and all responsibility for our own child/children. This liability includes all medical bills and any other expenses that might be incurred from any injury of our child/children while at Oregon Park. We do not hold responsible any of the organizers, coaches, players of Homeschool Baseball, or the Cobb County Parks and Recreation for any medical bills or any other expenses that might be incurred from any injury to our child/children. We have read, understood, and fully intend to cooperate with the goals of Homeschool Baseball.
Signature _____________________________________________