Building Quality Baseball Players Since 1996

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 forfeit.

PRINT CONFIRMATION PAGE FOR YOUR RECORDS. 
YOUR REGISTRATION IS COMPLETE.

Complete the following information
Team Name E-mail
 Contact Telephone
Street Address
City/State/Zip  

Emergency Contact (if different from above)

Name Telephone

Select division (based on age group for 2011 season):

 

U13       U14      U15       U16      U18

 

League Meeting:
All Teams: Wednesday, September 8th 7:30PM at the Academy's indoor facility

18025 Highway 99 - Suite A, Lynnwood.

 


By submitting this form I, the parent/guardian of the individual named above, a minor, do hereby agree to allow the individual named 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 below, 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