North Jefferson Junior Baseball Association


LAST UPDATED:
May 12, 2010 4:12 PM

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Space Player Registration Form

Player Information
 (Required)
 (Required)
 (Required)
 (Required)
 (Required)
 (Required)
 (Required – Format: 3035551234; no spaces)
 (Optional – Format: 3035551234; no spaces)
 (Required)
 (Optional)


Parent/Guardian Information
First Parent/Guardian  
 (Required)
 (Required)
Second Parent/Guardian  
 (Optional)
 (Optional)


Player Eligibility Information
 (Required – Format: YYYY-MM-DD)
 (Required – Age as of April 30, 2010)
 (Required)
 (Only if "Other" is selected for "School" above)
 (Required – Defined by residence address or attending school)
Birth Certificate on File
with NJJBA?		  (Required – If NO, a copy of State Certificate of Live Birth must be provided)


Division of Play Options
In this section you will select a division of play (age group).
 
Please Select a Division Option (Required by ALL Players – Please Select Carefully)
 


How Did You Hear About NJJBA?
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Additional Comments
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Release and Authorization
I/We the parent(s) or guardian(s) of the above named candidate for a position on a North Jefferson Junior Baseball Association (NJJBA) team, hereby give my/our approval to participate in any and all league activities. I/We understand that it is our responsibility to notify league officials of any change in medical conditions or concerns.

I/We know that participation in baseball may result in serious injury or death and protective equipment does not prevent all injuries to players and do hereby waive, release, absolve, indemnify and agree to hold harmless the NJJBA, Jefferson County Junior Baseball League, North Jeffco Parks and Recreation, City of Arvada, City of Westminster, Jefferson County School District, the organizers, sponsors, participants and persons transporting my/our child to and from activities for any claim arising out of injury to my/our child whether the result of negligence or for any other cause, except to the extent and in the amount covered by accident or liability insurance.

I/We also grant permission to managing personnel to authorize and obtain medical and/or dental care or treatment from any licensed physician, hospital or medical clinic should my child become ill or injured while participating in any Association or League activities when neither parent nor guardian is available to authorize emergency treatment.
 
 (Required)
 (Required – Format: YYYY-MM-DD)


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North Jefferson Junior Baseball Association | P.O. Box 740267 | Arvada, CO 80002
303-422-7406 - Office | 303-456-1566 - Fax
This website and its content is copyright of North Jefferson Junior Baseball Association - © North Jefferson Junior Baseball Association, 2010. All rights reserved.
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