Lower Dauphin Travel and All Star Baseball Association - (Hummelstown, PA)

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2023-2024 LDTABA Tryout Registration

PLAYER INFORMATION

* Player Last Name:

* Player First Name:

* Street:

* City:

* State:

* Zip Code:

* Birthdate:

Gender:

* Player's Grade For 2023-2024 School Year:

* School Attending:

* Please Select Your Tryout Date:

* Please indicate your tryout status:

PARENT/GUARDIAN #1

* Parent/Guardian #1 Name:

* EMail:

Cell Phone:

PARENT/GUARDIAN #2

* Parent/Guardian #2 Name:

* Email:

Cell Phone:

MEDICAL/EMERGENCY CONTACT INFORMATION

* Emergency Contact:

* Phone:

Relationship to Player:

Insurance Carrier:

WAIVER INFORMATION

LIABILITY WAIVER
I, the parent/guardian of the registrant, a minor, agree that I and the registrant will abide by the rules of Lower Dauphin Travel & All-Star Baseball Association (LDTABA). Recognizing the possibility of physical injury associated with baseball and in consideration for LDTABA accepting the registrant for its baseball programs and activities, I HEREBY RELEASE, DISCHARGE, and/or INDEMNIFY LDTABA and associated personnel, including the owners of fields and facilities utilized for LDTABA activities against any claim by or on behalf of the registrant as a result of the registrant’s participation in the LDTABA activity.

By selecting this checkbox, I/we agree to the terms in the Liability Waiver *

* indicates required fields