Blytheville Baseball/Softball Boosters
2012 League Registration Form
Name: _____________________________ Home Phone: _______________ Cell Phone: __________
Address: ____________________________________________________________________________
City: _____________________________ State: ____________ Zip: __________________________
Email Address: _____________________________
Parent/Guardian’s Name: _______________________________________ Work Phone: ___________
Birthday: _________________ Grade: __________ Attends School At: ________________________
Baseball Playing age on April 30, 2012: _______ Softball Playing Age on December 31, 2011_______
Any medical conditions (ex.: asthma, etc.) that your child’s coach needs to be made aware of?_________
Uniform Shirt information: Child S(6-8) M(10-12) L(14-16) Adult S M L XL XXL
For League Use Only:
Registered by ______ Birth Cert. ______ Fee Paid ________ League Assignment ________
NOTE TO PARENTS
- BBSB uniform policy provides that BBSB will furnish a player’s shirt and cap. Parents will purchase belts, socks and pants. At the end of the season players may keep their entire uniform.
- COACHING OPPORTUNITIES AVAILABLE!!!
- There will be several tournament travel teams that will play in some weekend tournaments. Will your child be interested and available to play on some weekends through July? Yes____________ No ______________
CONDUCT STATEMENT
In order to maintain a quality, wholesome, and family atmosphere, I do commit my child, my family, and myself to conduct ourselves in a respectable and cordial fashion towards umpires, coaches, league personnel, players and other spectators. I agree to abide by the rules of the Blytheville Youth Sportsplex facilities and all league rules as established by the Blytheville Baseball/Softball Boosters. I understand that if I do exhibit verbally or physically abusive, belligerent, disrespectful, uncooperative behavior or other conduct that is deemed inappropriate, I may be penalized up to and including removal from the Blytheville Youth Sportsplex for the duration of the entire 2012 regular and post-season play.
___________________________ __________________________
Print Name Signature