Predator Travel Baseball Club

TRAVEL BASEBALL APPLICATION

Circle One:    9U,     10U,     11U,     12U,     13U,     14U,     16U-18U

 

 

 

DOB between: ____________________________________

 

Today’s Date: ________________________

 

Applicants Full Name:___________________________________________________________________________________________________________

 

Date of Birth: _________/ ___________/ ___________                    Birth Certificate attached: Y              or            N

 

Address: _____________________________________________________________City: _____________________State: AZ  Zip: __________________

 

Home Phone: (                ) ______________________________          Secondary Phone: (                ) ______________________________

 

Applicant Lives with:             Mother                   Father                    Both:                                      Other: _____________________

 

Mothers Name: ________________________________      Fathers Name: _____________________________             Others Name: ______________

 

Primary email address: __________________________________________________________________________________________________________

 

Secondary email: _______________________________________________________________________________________________________________

 

Does applicant play any other sports? _______ If yes, please list: ______________________________________________________________________

 

How many years has he played baseball? ______ Where ? _____________________________________________________________________________

 

What positions? _________________________________ Preferred position(s): __________________

 

Bats:       R              or            L              or            Both                                                                        Throws:   R              or            L             

 

Height: ___________                             Weight: __________              School: ________________                   Lowest Grade: ______________

 

Does the applicant have any medical conditions we should be aware of?                          Y             or            N

 

If yes, explain: _________________________________________________________________________________________________________________

 

APPLICANTS INSURANCE CARRIER: _______________________________________________________________________________________________

 

POLICY# AND GROUP#: __________________________________________________ / _____________________________________________________

 

IN THE EVENT OF AN EMERGENCY AND NEITHER PARENT NOR LEGAL GUARDIAN CAN BE REACHED, THE COACHES SHOULD CONTACT: ________

 

______________________________________________________________________________________________________________________________

 

NAME: _________________________________________________________________  RELATIONSHIP: ___________________________________

 

PHONE: (                 ) _____________________________   SECONDARY PHONE: (                  ) ____________________________________________

 

 

I/WE KNOW THAT PARTICIPATION IN BASEBALL MAY RESULT IN SERIOUS INJURIES AND PROTECTIVE EQUIPMENT DOES NOT PREVENT ALL INJURIES TO PLAYERS, AND DO HEREBY WAIVE, RELEASE, ABSOLVE, INDEMNIFY, AND AGREE TO HOLD HARMLESS PREDATOR TRAVEL BASEBALL CLUB, PREDATOR USA AND LLC., THE ORGANIZERS, SPONSORS PARTICIPANTS AND PERSONS TRANSPORTING MY/OUR CHILD TO AND FROM ACTIVITIES FOR ANY CLAIM ARISING OUT OF ANY INJURY TO MY/OUR CHILD WHETHER THE RESULT OF NEGLIGENCE OR FOR ANY OTHER CAUSE, EXCEPT TO THE EXTENT AND AMOUNT COVERED BY ACCIDENT AND LIABILITY INSURANCE. I, THE PARENT OR LEGAL GUARDIAN OF THE ABOVE APPLICANT AND HEREBY GRANT PERMISSION FOR THE ABOVE PLAYER APPLICANT TO PARTICIPATE AND I AUTHORIZE EMERGENCY MEDICAL TREATMENT, IF REQUIRED.

 

X __________________________________________________________________                        _______________________________________

PARENT OR LEGAL GUARDIAN’S SIGNATURE:                                                                    DATE:

I DO NOT GIVE PERMISSION FOR EMERGENCY MEDICAL TREATMENT FOR MY CHILD. I, THE PARENT OR LEGAL GUARDIAN OF THE ABOVE

APPLICANT, GRANT PERMISSION FOR THE ABOVE PLAYER APPLICANT TO PARTICIPATE. I UNDERSTAND THAT BY NOT GRANTING PERMISSION FOR MEDICAL TREATMENT, I, THE PARENT OR LEGAL GUARDIAN, MUST BE PRESENT AT ALL PRACTICES AND GAMES FOR MY CHILD TO BE

ALLOWED TO PARTICIPATE:

X __________________________________________________________________                        _______________________________________

PARENT OR LEGAL GUARDIAN’S SIGNATURE:                                                                    DATE:

I understand that by submitting my application to this Predator Organization it does not in any way guarantee me a position on the team. I also understand that I must partake in the tryout before being considered for the team.

X __________________________________________________________________                        _______________________________________

PARENT OR LEGAL GUARDIAN’S SIGNATURE:                                                                    DATE: