2008 GREENBRIER YOUTH BASEBALL FAll REGISTRATION FORM

PLEASE PRINT------TEAM PLAYED FOR IN FALL HAS NO BEARING  WHERE YOU WILL PLAY IN SPRING 2009

COST $30.00 PER CHILD

PLAYERS LAST NAME:__________________  FIRST NAME:_________________________

AGE:_____ BIRTH DATE:     MONTH_______ DAY________  YEAR___________________

PARENTS NAME:______________________________________________________________

ADDRESS:___________________________________________ CITY:____________________

PHONE: (HOME)________________ (WORK)_________________ (CELL)________________

EMERGENCY CONTACT:___________________________ HOME:_____________________

PREVIOUS SPRING TEAM PLAYED FOR:___________________________ COACH:______________

INTERESTED IN COACHING:_____________ COACHING EXPERIENCE:______________

FORM OF PAYMENT: CASH:_____ CHECK:_____ 

CHECK IF RECEIPT REQUIRED:______

*NO REFUND GIVEN AFTER TEAM UNIFORM IS PURCHASED*

    PERMISSION IS HEREBY GIVEN FOR MY CHILD TO PARTICIPATE IN THE GREENBRIER YOUTH BASEBALL PROGRAM.  WE AS PARENTS OR GUARDIANS OF THE ABOVE CHILD DO HEREBY PROMISE, AGREE, AND  WARRANT THAT WE WILL NOT SEEK OR ATTEMPT TO HOLD OR CLAIM THE GREENBRIER CITY PARK, GREENBRIER YOUTH BASEBALL PROGRAM, ITS AGENTS OR EMPLOYEES RESPONSIBLE OR LIABLE IN ANY WAY FOR ANY PERSONAL INJURY, PROPERTY DAMAGE, OR OTHER LOSS THAT MAY BE SUFFERED BY ANY OF US GROWING OUT OF SAID CHILD'S PARTICIPATION IN THE PROGRAM.

    ALL PARENTS WILL BE EXPECTED TO SHARE IN THE BURDEN OF OPERATING THE GREENBRIER YOUTH BASEBALL PROGRAM.   PARENTS WILL BE REQUIRED TO HELP WITH THE CLEANING OF THE BALL PARK,  KEEPING SCORE, WORKING THE CONCESSION STAND AND ANY OTHER DUTIES NECESSARY TO THE SUCCESS OF THE GREENBRIER YOUTH BASEBALL PROGRAM.

I, ________________________, HAVE READ AND UNDERSTAND THE CONDITIONS STATED ABOVE AND THE CODE OF CONDUCT ON HE FOLLOWING PAGE OF THIS REGISTRATION FORM , AND HEREBY AGREE TO ALL TERMS AND CONDITIONS SET FORTH HEREIN.

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PARENT OR GUARDIAN SIGNATURE                                            DATE