Neptune Little League: Ocean Twpship

Wednesday, May 30

SUMMER BASEBALL REC LEAGUE “Smaller Teams, More playing time”

FINAL REGISTRATION SESSION Tue., May 29th, 6pm-8pm; West Park Ave Recreation Center PLEASE BRING: BIRTH CERTIFICATE, REGISTRATION FEE, AND REGISTRATION FORM DIVISIONS (Ages as of 4/30/12. All divisions are coed.) 5-6 yrs. – instructional - Meets Mondays (Clinic night w/ instructors from Frozen Ropes) and Wednesdays (Game night) at OTES 7-8 yrs. – machine pitch 9-10 yrs. – player pitch 11-12 yrs. – player pitch (70ft. Bases) LEAGUE INFORMATION Registration Deadline: Tue, May 29th Season Schedule: Wednesday, June 27th through Thursday, August 16th Season End Celebration: Friday, September 7th Format: 1 or 2 games/week Mon-Thurs evenings (7-12 yr olds) Uniforms: Players will receive a team hat, shirt and socks Registration Fees: $85 per child Referral Discount: For each successful new league sponsor that a family secures, one registration fee will be waived. Sponsorship fees (min. $300) must be paid by registration deadline to qualify. Awards: Every player receives an award at end of season

REGISTRATION DEADLINE TUE, MAY 29th Bring this form to a registration session with the registration fee of $85, and a copy of a birth certificate Child’s Last Name: ____________________________ First Name: ___________________________ MI: _____ Sex: _____ Birth date: _____/_____/_____ School: _________________ Grade: _____ Shirt Size: _______ Mother/Guardian Last Name: ______________________________ First Name: __________________________ Address: ______________________________________Town: _________________________ Zip__________ Home Phone: ___________________ Work Phone: ____________________ Cell Phone: _________________ Occupation: ______________________________________ Cell Phone Provider: ______________________ Email Address: __|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__| Would like to volunteer: ___Manager ___Coach ___ Umpire ___ Sponsor ___ Board __ Other____________ Father/Guardian Last Name: ______________________________ First Name: __________________________ Address: ______________________________________Town: _________________________ Zip__________ Home Phone: ___________________ Work Phone: ____________________ Cell Phone: _________________ Occupation: ______________________________________ Cell Phone Provider: ______________________ Email Address: __|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__| Would like to volunteer: __¬_ Manager __¬_ Coach __¬_ Umpire __¬_ Sponsor __¬_ Board ¬¬___ Other____________ Emergency Contact Last Name: ___________________________First Name: __________________________ Home Phone: ___________________ Work Phone: ____________________ Cell Phone: _________________ Allergies/Disabilities/Medical Conditions:_________________________________________________________ I hereby give my consent for my child’s participation in any and all activities of OTYB. I assume all risks and hazards, incidental to the conduct of activities and transportation to and from activities. I hereby release; absolve; indemnify and hold harmless Ocean Township Youth Baseball, and its board members, directors, organizers, and supervisors. In case of injury to my child, I waive all claims against the board members and directors, or any of the supervisors appointed by them. I release from responsibility any person transporting my child to or from activities. I hereby authorize the OTYB or its authorized representatives to consent to any emergency medical procedures which may be deemed necessary for my child while under the supervision of OTYB. I understand reasonable attempts will be made to contact me before the use of this consent is made. I have furnished a valid birth certificate and proof of residence for the above named child. I will follow the OTYB Code of Conduct throughout the course of the season. Parent/Guardian Signature: ______________________________________ Date: ____________________ LEAGUE USE: Amount $______ Check#____ Cash – MO; BC ___ Res ___ Rec’d by: ____ Entered by:_____ Date:___/___ Age: ____ Notes ____________________________________Team____________________ H – 1 2 3 4 5 F – 1 2 3 4 5 P – 1 2 3 4 5 T – 1 2 3 4 5