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Fall Baseball Team Registration Form

By completing this registration you are securing a spot in the selected program.  If your registration fee is not received within 5-7 days your spot will be forfeited.

PRINT CONFIRMATION PAGE FOR YOUR RECORDS.  YOU WILL NOT RECEIVE A CONFIRMATION PHONE CALL.

Complete the following registration information:

Team Name
Contact
Street Address
City
State
Zip
Phone Number
E-mail
	E-Mail will be used for contact purposes only. If you would like to be on our informational mailing list please check the box below.
	Mailing List (Check the box to the left)

            Age group team will compete in for 2009 summer season     

                               (U13, U14, U15, U16 or U18 - based on players age for the 2009 season) 

Special Note: For 2009, the league age birth date will be April 30th.  So, what a players age on or before April 30th will be his league age.  If his birth date is May 1st or after (and for example, turns 14) he would still be considered a league age 13 year old.  Whether you are staying in Koufax or moving up to Mickey Mantle, the change will affect all age groups.  Other leagues may or may not be making this change.  You will need to contact the league you will be in for the 2009 season to determine which age group you will be for the fall season.

              Team Fee   $1800.00

                    A $200 non-refundable deposit will hold your teams spot.  

                   The balance is due with the submission of the required paperwork.

By submitting this form I, the representative of the team named above, consisting of minors, do hereby agree to allow the team members herein to participate in the aforementioned activity and authorize the program directors and/or instructors as Agents for the undersigned to consent to Medical, Surgical and/or Dental Examination, in addition to any and all other Treatments that may be deemed necessary by medical personnel.  It is understood that this activity involves an element of risk and a danger of accidents and knowing those risks I hereby assume those risks.  In addition, I understand that by signing this agreement, I hereby release and discharge Northwest Baseball Academy and their directors from any and all liability resulting in injury associated with participant’s participation in this activity.  I agree that pictures taken during program hours may be used for future promotional purposes.  In the absence of a parent/guardian signature, payment of fees and participation in the program shall constitute acceptance of the conditions set forth in this release.  Northwest Baseball Academy will not provide health and/or accident insurance for program participants.

Additional Information: