The Livingston Elks and the Recreation Departments of Roseland, Essex Fells, Fairfield and North Caldwell are Sponsoring The Sixth Annual Batters Up Competition ’14 19 Harrison Avenue, Roseland, NJ 07068 – mcolitti@roselandnj.org (Mayor John Duthie) For All Area Resident and Non-Resident Boys & Girls - Ages 5 to 15 MONDAY, JUNE 16th (RAIN DATE WEDNESDAY, JUNE 18th) THE COMPETITION IS “FREE” Age Groups: (AGE AS OF 4/30/14) 5:30 p.m. ages 5-7 6:00 p.m. ages 8-9 7:00 p.m. ages 12-13 7:15 p.m. ages 14-15 6:30 p.m. ages 10-11 Check in and/or Post (Same Day) Registration – Monday, June 16th at O’Beirne Field From 5:15 p.m. – 5:30 p.m. for ages 5-7 and 15 minutes prior to the event time for all other age groups Awards given to First, Second, and Third Place finishers in each category. First Place finishers will have an opportunity to advance to District, State, and Regional Competition. Come out and test your skills! 5-7 yr. olds hit off a tee, all others will receive 5 warm up pitches, and 10 hits from the pitching machine. Scores are counted as to where the ball lands. The highest point total determines the winners. Send in completed Registration Form and a copy of participant’s Birth Certificate (if not on file): By Mail or walk into: Roseland Recreation Department, 140 Eagle Rock Avenue, Roseland, NJ 07068 A COPY OF PARTICIPANT’S BIRTH CERTIFICATE MUST ACCOMPANY FORM UNLESS ALREADY ON FILE (call the office). DOCUMENT IS USED FOR AGE VERIFICATION. Pre-registration deadline is Thursday, June 12th Same day Post Registrations will still be accepted. For more information please call 973/650-7567 or 973/403-6850 ------------------------------------------------------------------------------------------------Please Note: One Form per Participant Detach Here Birth Certificate on File 2014 BATTERS UP COMPETITION CHILD’S NAME __________________________________ PHONE NUMBER______________________ ADDRESS____________________________ CITY______________________ STATE____ ZIP_____ EMAIL ____________________________________________________________________ BIRTH DATE ___________________________ SEX __________ AGE AS OF APRIL 30, 2014 ________ In return for being allowed to participate in the Roseland Essex Fells, Fairfield and North Caldwell Recreation Departments (hereinafter referred to as “WERD”)/ Benevolent and Protective Order of Elks of the United States of America’s Batter Up Competition, (hereinafter collectively referred to as “BPOE”), the undersigned parent represents the information set forth in the Application is correct. In consideration of such registration and the right of applicant to participate in the competition, the undersigned does hereby acknowledge and agree that such participation will be solely at the risk of applicant, the undersigned, and without liability to the WERD / BPOE of the United States of America, its State Associations, its subordinate Lodges, and the officers and member of them and any other Sponsors. The undersigned, for himself, his personal representatives and successors, does hereby release and forever discharge WERD/BPOE and any other Sponsors from any and all claims, demands, liabilities, obligations, damages, costs, expenses, loss of service, actions and causes of action including each and every right of payment for damages said undersigned may now or hereafter have against WERD/BPOE and any other Sponsors arising out of any act or occurrence incident to the applicant’s said participation and/or the engagement of the undersigned in connection therewith. The undersigned hereby gives consent and authorizes WERD/BPOE to use and reproduce, without compensation, applicant’s name and/or likeness and to circulate the same for any and all purposes reasonably related to the conduct and promotion of the said competition, and the undersigned does hereby agree to indemnify and hold WERD/BPOE and any other Sponsors harmless from any and all claims, loss or damage to the WERD/BPOE resulting from or related to applicant’s said participation. Child Photo / Video / Release Form I grant permission for the Borough of Roseland, Roseland, New Jersey to use photograph(s)/moving image(s) of my child participating in Borough programs and/or activities for promotional purposes. I understand that photographs or recordings may be utilized by the Borough at its discretion for materials including, but not limited to: newsletters, brochures, television, video tape and flyers. Photographs sent to the local newspaper may have names noted. There will be no valuable consideration paid as a result of this activity. Yes ___ No ___ _________________________________ _________________________________ (Signature of Contestant) (Signature of Parent of Guardian) NOTE: All entrants are requested to contact their school principal or coach to determine if any restriction or eligibility requirements exist in their state.