2015
HAMILTON COUNTY BABE RUTH
BASEBALL & SOFTBALL APPLICATION
PLEASE FILL IN ALL LINES AND INFORMATION COMPLETELY
(PLEASE PRINT)
____________________________________________
Age______
PLAYER’S NAME as listed on Birth Document
STREET ADDRESS
DOB ______/_______/______
MO. DAY
YR.
CITY / STATE
ZIP
Email_____________________________ Contact Numbers _____________________ ___________________________
Little Ones: Child is 4 years of age or younger. ___ Play in Jasper Only
$35.00
WS__JEN__JAS__ Coach Pitch T-Ball: Child is 5 – 6 years old and not 7 before April 30th 2015 $50.00
WS__JEN__JAS__ Rookie League: Child is 8 yrs. old or under and not 9 before April 30th 2015
WS__JEN__JAS__ Minor League: Child is 10 yrs. old or under and not 11 before April 30 th 2015
WS__JEN__JAS__ Major League: Child is 12 yrs. old or under and not 13 before April 30 th 2015
WS__JEN__JAS__ Senior League: Child is 13 – 15 yrs old and not 16 before April 30 th 2015
WS__JEN__JAS__ Girls only Softball: Child is 8U___ 10U___12U___14U___16U___
Registration (Deadline is February 27th, 2015) $65.00
Late Registration (Feb 28th THRU March 6, 2015) $75.00
PARENT(S) OR GUARDIAN SIGNATURE(S)
_________________________________________________________________
NAME OF FAMILY INSURANCE PLAN:
_____________________________________________________________________________________
_________________________________________
SCHOOL: ____________________________________________________________________
PARENT (S) OCCUPATION:
_________________________ WK. # ______/______________
PARENTS OR GUARDIAN’S NAME (PLEASE PRINT)
_____________________________________________________________________ _______________________________________________________________________
Babe Ruth Baseball does not limit participation in its activity on the basis of disability.
*** WHEN FILING OUT THE APPLICATION PLEASE PAY CLOSE ATTENTION TO THE PLAYER'S
NAME. THE PLAYER'S NAME HAS TO BE EXACTLY AS IT IS ON THE PLAYER'S BIRTH
CERTIFICATE.
*** A COPY OF THE PLAYER'S BIRTH CERTIFICATE IS REQUIRED OR THE
APPLICATION IS NOT COMPLETE . (BABE RUTH RULES)
Pablo Garcia: 386-792-3098 386-855-4238
hcrecreation@yahoo.com