Knoxville Baseball/Softball Association

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Knoxville Baseball/Softball Registration

PLAYER INFORMATION

* First Name:

* Last Name:

* Street:

* City:

* State:

* Zip Code:

* Home Phone:

Cell Phone:

* Birthdate:

* Gender:

Preferred Jersey Number:

Last Years Team:

* Jersey Size:

PARENT/GUARDIAN #1

* Firstname:

* Lastname:

* Home Phone:

Work Phone:

* Cell Phone:

PARENT/GUARDIAN #2

Firstname:

Lastname:

Email:

Home Phone:

* Cell Phone:

Work Phone:

MEDICAL/EMERGENCY CONTACT INFORMATION

* Emergency Contact:

* Phone:

Relationship to Player:

* Insurance Carrier:

WAIVER INFORMATION

I/We the Parent/Guardian of the above named candidate, do hereby give my/our approval to his/her participation in any and all of the activities during the current season. I/we assume all of the risks and hazards incidental to the conduct of the activities, transportation to and from the activities, and I/we do hereby release, absolve, and indemnify, and hold harmless, the "Knoxville Baseball/Softball Association", the organizers, sponsors, or any of the supervisors appointed by them.

I/we agree with the above *

* Parent, Guardian or Adult E-mail:

* indicates required fields

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Knoxville Baseball/Softball Registration