Transcript Slide 1

P.O. Box 205, Westbury, NY 11590 <> (516) 333-5358
www.westburybaseball.com
Registration for Spring 2008
 Male
Name: ________________________________ Date of Birth: ____/____/____  Female
Address: _______________________________ City__________________ Zip ________
Phone #: (____)_____-_______ School_____________________________Grade: _____
E-mail address: _________________________________________________________
Parent(s)/Legal Guardian(s) Name(s):________________________________________
Emergency Contact Information:
Name (s): ______________________________________________________________
Phone Number(s): _______________________________________________________
Name of Medical Insurer: _________________________________________________
Medical Information League Should Know (allergies, asthma, etc): ________________
______________________________________________________________________
Uniform Size: Shirt: ______ Pants: ________
The Westbury Amateur Baseball Association (WABA) is a volunteer organization. We
depend heavily on the participation of parents/guardians to bring our children a quality baseball
program at a cost significantly lower than our neighboring towns. Please check off the area(s)
in which you can help. Even a few hours during the season can make a difference.
 Coach
 Field Maintenance
 Assistant Coach
 Special Events
 Team Manager
I, the undersigned (parent/legal guardian) hereby give my child approval to participate in all Little
League activities. I assume all risks and hazards incidental to such participation including
transportation to and from the activities and do hereby waive, release, absolve, indemnify, and
agree to hold harmless the local Little League, Little League Baseball Inc., the organizers,
sponsors, supervisors, participants, and persons transporting my child, whether the result of
negligence or for any other cause, except to the extent and in the amount covered by accident
and liability insurance.
I understand that there will be no refunds given for any reason after start of season.
Signature: _________________________________________________ Date: ____________
--- FOR LEAGUE USE ONLY --League Age: _____
 Returning Player (Age Documentation on File)
 New Player
Proof of Age Documentation _____________________ Checked by: _______
Registration Date: ____________________
Fee Paid: $_______
 Cash
 Check #_________