Indian River County Cal Ripken / Babe Ruth League
Spring 2015 Baseball Registration Form
Affiliated with Babe Ruth League Inc. North America’s fastest growing youth sports program
Please print CLEARLY and fill out form COMPLETELY. Players will not be registered until COMPLETED registration form has been received
along with verification of the players date of birth (please provide a copy of birth certificate or Babe Ruth Card) and payment in full.
PLAYER INFORMATION
____________________________________________________________________________________
Player Name: ______________________________________
Gender:
Male
Female
Date of Birth: _____________________
League Age (as of 4/30/15):______________
Home Address: ______________________________________________________________________
City: ______________________________________ State: _____________
Zip code: ____________
Note: If your child played with IR Cal Ripken in Spring '14 please list the
division (Minors, Majors, etc) and team he or she played for below.
School Attending: _______________________
Previous Baseball Experience: ___________________________________________________________
Shirt Size: (Please Circle One)
YS
YM
Preferred Jersey Number: 1st Choice: _______
YL
AS
AM
AL
AXL
2nd Choice: ________ 3rd Choice: __________
PARENT / GUARDIAN INFORMATION:
____________________________________________________________________________________
Mother/Guardian: ____________________________________ Cell #: _________________________
Email Address________________________________________________________________________
Father/Guardian: _____________________________________ Cell #: _________________________
Email Address________________________________________________________________________
Emergency Contact: ________________________________ Phone #:__________________________
CONSENT FOR TREATMENT:
____________________________________________________________________________________
In case of accident or illness I hereby authorize a representative of Babe Ruth League, Inc. to use his or her judgment in obtaining immediate medical care.
Parents will be notified in case of serious illness or injury as quickly as possible, but this will facilitate immediate treatment.
Parent Signature: ______________________________________ Date: _________________________
Health Insurance Provider ____________________________ Policy # ___________________________
Spring 2015 League Fees: $100.00 (Minors, Majors, Babe Ruth) • $75.00 (Tee Ball & Coach Pitch)
www.IRCCR.com
Mission Statement of Babe Ruth League, Inc.
The Babe Ruth Baseball/Softball program, using regulation competitive baseball and softball rules,
teaches skills, mental and physical development, a respect for the rules of the game, and basic ideals
of sportsmanship and fair play. In all aspects, Babe Ruth League, Inc. is committed to providing our
participants the very best educational sports experience possible. It is our fundamental belief that
every child with a desire to play baseball or softball be afforded that opportunity.
VOLUNTEER INFORMATION:
____________________________________________________________________________________
Yes, I/we would like to volunteer.
No, I'm not interested in volunteering
Volunteer Name #1: ___________________________________ I am interested in the following:
I
Managing
Coaching
Press Box: Announcing
Umpiring
Concession Stand
Press Box: Scorekeeping
do
do not have experience as a Manager/Coach (if checked above).
Volunteer Name #2: ___________________________________ I am interested in the following:
I
Managing
Coaching
Press Box: Announcing
Umpiring
Concession Stand
Press Box: Scorekeeping
do
do not have experience as a Manager/Coach (if checked above).
Beginning with the 2008 season, all baseball coaches & managers must complete coaching education
certification under the Babe Ruth/Cal Ripken Baseball Coaching Certification Program. There are two
courses to choose from (a) Coaching Youth Baseball: The Ripken Way for Babe Ruth Baseball Coaches
($19.95) OR (b) Coaching Advanced Baseball: The Ripken Way for Babe Ruth Baseball Coaches ($24.95).
Please visit http://baberuthcoaching.org/coaches to sign up and complete your education.
ADDITIONAL DONATION / SCHOLARSHIP
___________________________________________________________________________________
I would like to make a donation to offset the cost of scholarship players who could not
otherwise afford to play. Please add the following to my league fee:
$5.00
$10.00
$20.00
Other ____________
FOR LEAGUE USE ONLY
____________________________________________________________________________________
Amount Received: _____________________
Division Requested:
Cash
Babe Ruth 13-15
Check # ___________
Babe Ruth 16-18
Special Requests: _______________________________ Date of Birth Confirmed
Board Member Initials: ______________________________
www.IRCCR.com
Yes
No
Date: __________________