RMB*ATB Team/Event Registration Form

TEAM OR EVENT REGISTERING FOR*

Player's Name:*

First NameLast Name

School*

Age*

Graduation Year*

Player's Date Of Birth:

MonthDayYear

CURRENT HS GPA IF APPLICABLE*

Date

Baseball Positions List By Primary and Secondary if Pitcher specify RHP or LHP*

Height*

Weight*

Shirt/Jersey Size Specify Adult or Youth*

Player's Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Player Email*

Player Cell*

Area CodePhone Number

Parent *

First NameLast Name

Parent Email*

Parent Cell*

Area CodePhone Number

Authorization For Emergency Treatment/Insurance/Liability Waiver

By submitting this form you give your consent for your child's participation in any and all ATB/RMB functions or activities. In the event of any injury or sickness occurring during any ATB/RMB functions or activities, you authorize any official(s) to administer first aid and if necessary to transport your child to the nearest emergency treatment.

You release ATB/RMB and any person(s) connected with ATB/RMB of any responsibility from accident or injury incurred as a result of his participation in any and all activities, including transportation to and from any ATB/RMB functions or activities.

You certify that you child has been given a physical examination and is physically able to participate in all related activities. Please notify in writing any prescribed medications and / or physical conditions of which the ATB/RMB coaches or staff should be aware of are listed below. Therefore i do not hold ATB/RMB instructors or staff liable.

Are there any medical conditions the staff needs to be aware of?

Health Insurance Information/Provider/PolicyNumber/Comments

In Case Of Emergency

Point Of Contact:*

Contact Number:*

Signed: Parent

Date:

MonthDayYear

GOJUCO SHOWCASE Registration Form