North Liberty / Coralville Babe Ruth Baseball 2016 Registration 16-18 yrs old
North Liberty Babe Ruth Senior League registration is open until March 4, 2016, additional forms will be available online
at www.nlbr.org or request through e-mail at nlcbaberuth@yahoo.com. Registration fees will be $200.00 for each player.
Any registration received after March 4, 2016, will need to contact nlcbaberuth@yahoo.com for availability and maybe
required to pay a late fee of $25.00 in addition to the regular registration fee. Fees include the cost of the uniform (hat,
pants, shirt, belt and socks), insurance, and certified Umpires. All new players must have a copy of their birth certificate on
file. Please remember that Babe Ruth Baseball is a competitive league and, therefore, players are not guaranteed equal
playing time. Please note that you must fill out a separate form and sign the release from liability statement for each
player. You may write a single check for multiple players, but please make sure to note the check number on each
registration form. You may also pay by PayPal at our website, www.nlbr.org. You can download and print registration
forms from the website. Please fill out registration and send back as soon as possible even you don’t send payment until
closer to registration end but payment is required to confirm registration before play begins. This will help in getting
accurate numbers for teams and game schedules.
Please notice that we have a fundraising initiative associated with this registration. This year any field enhancement
donations will be used towards, field maintenance, concession enhancements & future lights. These projects are very
much needed and unfortunately are very expensive. The NLBR board is appreciative of any financial support provided.
Parent / Guardian Names
(319) _____ - ___________ Player Cell
Father ______________________________
Last
__________________
First
(319) _____ - ___________ Father Phone
Mother _____________________________
Last
__________________
First
(319) _____ - ___________ Mother Phone
E-Mail Address/es: ________________________________________________________________________________
________________________________________________________________________________
Player’s Home Address ________________________________ _____________________
Street
City
____________
Zip
Release of Liability Statement The player registered has my permission to participate in the North Liberty Babe
Ruth program. I waive and release all members of the board and anyone involved with the program from any claim or
liability in the event of injury. This player is in good physical and mental health and is capable of undertaking a strenuous,
competitive baseball program
______________________________________________________________________
parent/guardian signature required for eligibility to participate
Player Name __________________________________________ ________________
____/____/____
Last
First
Date of Birth
Positions (check all that apply): Pitcher
Catcher
1st Base
2nd Base
Short Stop
3rd Base
Outfield
Preferred Jersey Number: 1st Choice ____________
2nd Choice ____________
3rd Choice _____________
Will Help Coach
Yes
No
Will Help Assist
Yes
No
School you attend ______________________
Player’s Shirt Size
A-S
A-M
A-L
A-XL
A-XXL
Existing player (choose
Player’s Hat (these are flex fit hats)
S/M
L/XL
current team):
Player’s Pants
A-XS,
A-S
A/M
A/L
A/XL
Gold
Maroon
Player’s Sock size
one size
League Fees – Includes (1) – Hat, Jersey, Pant, belt & Socks
Please select sizes above
$
200.00
Additional Player’s Shirt (with numbers, lettering, team logo)
@$35.00/Each
_____ Quantity $
Additional Player’s Hat (with logo and number)
@$20.00/Each
_____ Quantity $
Additional Player’s Pants (with belt)
@$30.00/Each
_____ Quantity $
Additional Socks
@$8.00/Pair
_____ Quantity $
$
Field Enhancement Donation
$
Late Registration Fee of $25.00 (after 3/4/16)
Player Total
$
Make check payable to North Liberty Babe Ruth (NLBR)
Method of Payment:
Cash
Check (No. _______)
PayPal online (Trans #_____________________________)
Mail Completed Registration and Payment to: NLBR PO Box 341 North Liberty, IA 52317
Babe Ruth 16-18 year old Registration Form (must be in high school and be 16 by April 30th, 2016))