2008 Merrimac Baseball Registration Form
Divisions (please check one)
T-Ball: K (1 day per week) $35.00 _____
College Ball: 1st – 2nd Grade (2 days per week) $65.00 _____
Minor League: 3rd – 4th Grade (2-3 days per week) $85.00 _____
Major League: 5th – 6th Grade (2-3 days per week) $85.00 _____
Family Cap = $175
* Please use a separate form for each family member *
Name:___________________________________ DOB:_______________
Address:_________________________________ Grade:_______________
Phone:________________________ Email:_______________@________
Mother:_______________________ Father:_________________________
Uniform Size: YS YM YL AS AM AL (circle one)
Parent Volunteers are always needed for the following: (please circle)
Coaching Umpiring Snack Shack $$Sponsors
REGISTRATIONS ARE DUE BY: February 29, 2008
Checks are payable to ‘Merrimac Youth Baseball, Inc.’
please mail completed form to:
Merrimac Youth Baseball
PO Box 97
Merrimac, Ma. 01860
I, the undersigned am the parent/guardian of the registrant, a minor, and agree that the registrant and I will abide by the rules of the Merrimac Youth Baseball, Inc. I give approval for above registrants participation in any and all league activities during the 2008 season. I assume all risks and hazards incidental to such participation, including transportation to an from all activities and I do hereby waive, release, absolve, indemnify and agree to hold harmless the Merrimac Youth Baseball, Inc., the organizers, sponsors, participant’s, coaches, volunteers, umpires, board of directors and any persons transporting my child to or from all activities, from any claim arising out of any injury to my child, whether the result of negligence or from any other cause, except to the extent and in the amount covered by the accident or liability insurance of the Merrimac Youth Baseball, Inc. I understand that the Merrimac Youth Baseball, Inc. Medical Insurance is excess over any primary coverage issued to the above registrant, and that I am responsible for any deductible or other amounts not covered by insurance.
Unsportsmanlike behavior by Player OR Player’s Parent may result in Expulsion from
Merrimac Youth Baseball, Inc., activities.
Parent/Legal Guardian Signature:_________________________________________
Printed Name:__________________________________ Date:__________________