Green Cove Springs Baseball/Softball Association BC Y/N

Green Cove Springs Baseball/Softball Association BC Y/N PO Box 1197 Green Cove Springs, FL 32043 904-529-7800

Registration Season : SPRING 2015 Team Assigned______(park use only)

PLAYERS FULL NAME: MALE / FEMALE (circle one) As appears on Birth Certificate (copy must be on file)

BIRTH DATE: AGE: ______As of April 30, 2015 (BASEBALL) / As of December 31, 2014 ( S OFTBALL)

HOME ADDRESS: CITY STATE ZIP CODE ______

NAME OF SCHOOL: SCHOOL GRADE:

CONTACT INFORMATION:

Mother/Guardian: HOME: WORK: CELL:

EMAIL:

Father/Guardian: HOME: WORK: CELL:

EMAIL:

Have you played for GCSAA in the past? IF NO, have you played baseball/softball for another association?

Where? /When? Division: (A waiver may be required from your former park in order to be an eligible player at GCSBSA) DIVISION:

____Tee-Ball (ages 4-6) ___Rookie (ages 7 – 8) ___ Minors (ages 9-10) ____ Majors (ages 10- 12) ____Pony (ages 12-15)

____Softball (5-6) ___Softball (ages 8U) ___ Softball (ages 10U) ____ Softball (ages 12U) ____ Softball (ages 14U)

____ Softball (ages 16U)

____Majors Swing Player(+$25.00 swing player fee)

PARENTS

**WEB SITE PERMISSION: I/We give permission to GCSBSA to post photographs of my/our child with his/her first name only on the GCSBSA website (http://gcsaa.baberuthonline.com). YES______NO______I hereby give my permission for my child to participate in the GCSBSA Baseball/Softball Program and pledge to support the ideals of GCSAA/Babe Ruth League. I also attest that the above information is true and correct.

______SIGNATURE OF PARENT OR GUARDIAN SIGNATURE OF PARENT OR GUARDIAN

Amount Paid $______Cash/Credit/Check # ______Balance Due ______*******Park Use Only*******

Green Cove Springs Baseball/Softball Association PO Box 1197 Green Cove Springs, FL 32043 904-529-7800 http://gcsaa.baberuthonline.com

Player / Parent Sportsmanship Form

Babe Ruth League and Green Cove Springs Baseball/Softball Association stress the importance of good sportsmanship and have guidelines for managers, coaches, parents, and players to follow. Green Cove Springs Baseball/Softball Association follows these guidelines. We must keep in mind that:

1. We are all volunteers – if you have a disagreement, do not discuss it in front of the children. 2. We must respect the umpires and officials. 3. Children need encouragement. Criticism and negativity will cause your child to be less enthusiastic. 4. Managers, Coaches, Players and Parents must be positive with remarks and actions 5. All Managers, Coaches and Players will shake hands with the opposing team after each game. ** (Failure to shake hands will result in a suspension from next game) **

GCSBSA will not tolerate inappropriate behavior by any Player, Coach or Spectator in the park. If at any event a person verbally abuses, attempts to intimidate, becomes flagrantly rude, lacks any control over their language, lacks control of actions toward a player, coach, official or any other parent or volunteer, they will be asked to leave the park and will receive a written warning.

If a second offense occurs, the person will be banned for the remainder of the season.

Any person who physically assaults any player, official, coach, volunteer, or spectator will be banned from GCSBSA for one full year. Physical assault includes, but is not limited to, putting hands on, hitting, slapping, pushing, spitting, kicking, shaking or striking.

Persons banned from GCSBSA may apply for re-instatement after one year.

The GCSBSA Board determines the accuracy of each reported incident before making any actions.

If you are involved in an incident or witnessed one you should contact your league Commissioner.

GCSBSA expects everyone to treat the ballpark with respect in the following ways:

1. NO smoking is allowed on ballpark grounds at any time. However, smoking may take place outside the fences of the ballpark. 2. NO alcoholic beverages are allowed on ballpark grounds at any time. 3. NO pets are allowed in the ballpark at any time. 4. NO bikes, skateboards, scooters, roller blades, etc. are allowed to be used in the ballpark at any time. 5. Each team and its spectators are responsible for keeping the dugouts and bleacher areas clean after each game. (This regulation brought forth by the Clay County Department of Parks and Recreation).

Please sign below to confirm your acceptance to the above GCSBSA guidelines.

PARENT/Guardian Signature and Print Name Date

PLAYER Signature and Print Name Date Green Cove Springs Baseball/Softball Association PO Box 1197 Green Cove Springs, FL 32043 904-529-7800 http://gcsaa.baberuthonline.com

MEDICAL RELEASE/AUTHORIZATION FOR PARTICIPATION PARENT OR GUARDIAN’S CONSENT FOR MEDICAL TREATMENT In case of emergency, if family physician cannot be reached, I hereby authorize

Name Age Date of Birth to be treated by another qualified, licensed physician and or medical facility which is available. This consent includes, but is not limited to, the administration of anesthetics and medication and/or the performance of such medical and/or surgical procedures deemed necessary. Family Physician Name/Telephone: Address: City, State, Zip: Allergies: Date of Last Tetanus Booster: Health Problems: Restrictions: Consent is given to release information for insurance purposes and I authorize third party to directly request insurance benefits due me for services rendered at the treating facility. Mother/Guardian Name: Father/Guardian Name: Insurance Company: Insurance Address: City, State, Zip: Policy/Plan Number: Policy Holders Name: NO Current Insurance: WARNING AKNOWLEDGEMENT AND PARENT/GUARDIAN AUTHORIZATION: I/We realize that participation in Baseball/Softball may result in serious injuries to my/our child. Protective equipment cannot prevent all injuries to players. By signing below, I hereby authorize the above named player to participate and also consent to the emergency medical treatment conditions listed above.

Mother/Guardian Father/Guardian Signature Signature Email Address Email Address

Home Telephone Home Telephone Work Telephone Work Telephone Cell/Pager/Alternate Cell/Pager/Alternate Telephone Telephone THIS FORM IS TO BE CARRIED BY TEAM MANAGER TO ALL EVENTS/FUNCTIONS TO INCLUDE PRACTICES, GAMES, PARTIES, ETC. Uniforms Information All hats will have the players first name and number on the back

PLAYERS NAME:______(The name above will be how it will appear on jersey)

SHIRT SIZE:

Youth S:______Youth M:______Youth L:______

Adult S:______Adult M:______Adult L:______

Adult XL:______Adult 2XL:_____

NUMBER: Pick 3 Number with your favorite number first

1)______

2)______

3)______

**PAYMENT PLANS ARE AVAILABLE** **100% OF PAYMENT MUST BE RECEIVED BY MARCH 2, 2015 UNIFORM TO BE ISSUED A UNIFORM**

TEAM:______

COACH:______

DIVISION:______****PARK USE ONLY****