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04-15-14 06:24 PM
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Neptune Little League
Information Officer
600 Jumping Brook Rd.
Neptune, New Jersey
07753
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



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