North Liberty / Coralville Babe Ruth Baseball 2013 Registration
North Liberty Babe Ruth registration will begin January 14th 2013, additional forms will be available at the North Liberty
& Coralville Community Centers or request through e-mail at nlcbaberuth@yahoo.com. Early registration fees will be
$130.00 Jan 14th through Feb 18th. After Feb 19th through March 23rd Fees will be $150.00. Any registration received
after March 23th will need to contact Jeff Brenner at 626-2606 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,
game expenses 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. If you have email we
can send you a word document of this registration form. Send your requests to nlcbaberuth@yahoo.com and make sure
your subject includes Registration so that it will be routed correctly. Please fill out registration and send back as soon as
possible even you don’t send payment until closer to registration end. This will help in getting accurate numbers for
teams and game schedules.
Please notice that we have a fund raising 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) _____ - __________ Father Phone
Father ______________________________
Last
__________________
First
(319) _____ - ___________ Mother Phone
Mother _____________________________ __________________
(319) _____ - ___________ Player Cell
Last
First
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
Will Help Coach ___ Yes ___ No
Player’s Shirt Size
Player’s Hat
Player’s Pants
Player’s Sock size
Circle Size
Circle Size
Circle Size
Circle Size
A-S, A-M, A-L, A-XL, A-XXL
S/M
L/XL (these are flex fit hats)
A-XS, A-S A/M A/L A/XL
6-9 10-14
____/____/____
Date of Birth
Shirt, Hat, Pants, Belt,
Socks Included
League Fees – Includes (1) – Hat, Jersey, Pant, belt & Socks
Existing player list current team
Additional Player’s Shirt (with numbers, lettering, team logo)
@$28.00/Each
_____ Quantity
Additional Player’s Hat (with logo and number)
@$17.00/Each
_____ Quantity
Additional Player’s Pants (with belt)
@$26.00/Each
_____ Quantity
Additional Socks
@$7.00/Pair
_____ Quantity
Field Enhancement Donation
Late Registration Fee of $25.00 (after 3/23/13)
Player Total
Make check payable to North Liberty Babe Ruth (NLBR)
Method of Payment:
____ Other
_____ Cash ____ Check (No. __________)
Mail Completed Registration and Payment to: NLBR PO Box 341 North Liberty, IA 52317
Babe Ruth 12-15 yr old Registration Form (Born 2000 through May 1, 1997)