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LAST
FIRST MAILING ADDRESS MI PHYSICAL ADDRESS
MOTHERS NAME FATHERS NAME DATE OF BIRTH Home Phone Other Phone HIGH SCHOOL YOUR CHILD WILL ATTEND WILL HE/SHE BEING PLAYING ON ANY OTHER ORGANIZED BASEBALL TEAMS _____YES _____NO FAMILY PHYSICIAN ARE THERE ANY REQUIRED MEDICATIONS? (please include any medication) PHONE Mother's Cell Father's Cell Relationship AGE AS OF 4/30
SHOULD WE BE AWARE OF ANY SPECIAL NEEDS OF YOUR CHILD? MEDICAL CARE OR TREATMENT RESULTING IN HIS/HER INVOLVEMENT IN LEAGUE ACTIVITIES?
YES
NO
PLEASE EXPLAIN
IN CASE OF AN ACCIDENT OR ILLNESS, I HEREBY AUTHORIZE A REPRESENTATIVE OF SOUTH AUGUSTA BASEBALL LEAGUE TO USE HIS/HER JUDGEMENT IN OBTAINING IMMEDIATE MEDICAL CARE. DATE Desired Jersey # 1st 2nd CIRCLE ONE: This year's level Last year's team PARENT/GUARDIAN SIGNATURE ****Parent Shirt $15, Hats $20**** Name Number Uniform Info. Pant Size Shirt Size
T-Ball (6u)
Rookie (8U)
Minor (10U)
Major (12U)
If you have not played for SABL, Where did you last play?
Yes or No
This year SABL is offering an exemption to any parent not wishing to work the concessions. The $30.00 fee covers the cost of paying FCCLA to staff the window . This year SABL is offering an exemption to any parent not wishing to participate in the fundraiser. The $100.00 fee covers the minimum amount per player.
Yes or No
Notes
If you would NOT like your child's picture to be appear in any SABL media please check this box
DATE
PARENT/GUARDIAN SIGNATURE
Player's Name SPRING Registration first player Registration second player Registration third player Registration T-Ball Registration T-Ball second Sub-total Registration Total Exemption from concession Exemption from fundraising Parent Shirt Exemption Total Gun Raffle Ticket Numbers Box of Beef Sticks Sub-total Initials Grand Total $50.00 $30.00 $100.00 $15.00 $60.00 $50.00 $50.00 $50.00 $45.00
Parent Name SUMMER $45.00 $40.00 $35.00 FALL $50.00 $45.00 $40.00
Contact #
Check#
Cash