Ralston Area Baseball Association

2012 Online Registration Form

Player Information

Last Name:   First Name:  
Address:   Phone:  
City:   School:  
State:   Birth Date:  
Zip Code:  

League Gender Age on April 30 Registration Fee
Shetland - Tee Ball Girls 4, 5, 6, & 7 yrs $50.00
Shetland - Tee Ball Boys 4, 5, & 6 yrs $50.00
Yearling Boys 7 & 8 yrs $95.00
Mustang Boys 9 & 10 yrs $115.00
Bronco Boys 11 & 12 yrs $125.00
Pony Boys 13 & 14 yrs $135.00
Rams 16u Boys 15 & 16 yrs $280.00
Rams 18u Boys 17 & 18 yrs $280.00
League Entering:  
Age on April 30, 2012:  
Gender:  
Jersey Size:  
 
 


1 - Parent/Guardian Information

1 - Last Name:   1 - First Name:  
1 - Address:   1 - Home Phone:  
1 - City:   1 - Cell Phone:  
1 - State:   1 - Zip Code:  
1 - Email Address:  
 
I would like to volunteer as:       
Additional Comments:    


2 - Parent/Guardian Information

2 - Last Name:   2 - First Name:  
2 - Address:   2 - Home Phone:  
2 - City:   2 - Cell Phone:  
2 - State:   2 - Zip Code:  
2 - Email Address:  
 
I would like to volunteer as:       
Additional Comments:    


I/We the parents and/or guardians of the said player candidate for a position on a RABA League Baseball Team, hereby give my/our approval to his/her participation including transportation to and from the activities during the current season. I/We assume all risks and hazards incidental to such participation including transportation to and from the activities; and do hereby waive, release, absolve, indemnify and agree to hold harmless, the local league organization, Ralston Area Baseball Association, the organizers, sponsors, supervisors, board of directors, participants and persons transporting the player candidate except to the extent and in the amount covered by the accident and/or liability insurance held by Ralston Area Baseball Association. I/We the parents and/or guardians, confirm the player candidate is physically fit to play baseball. I/We will furnish a certified birth certificate of the player candidate upon the request of any Ralston Area Baseball Association Official. I/We hereby grant permission to the Coach or any Team Official of the Team to obtain medical care from any licensed physician, hospital or medical clinic for the player candidate, at such times as either parent or legal guardian cannot be contacted in person or by telephone. This authorization shall include all legal activities, including the period required to travel to and from those activities.

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1 - Signature:   Date:   I accept terms:  
2 - Signature:   Date:   I accept terms:  

* * NOTE * *  Your child will officially be registered when payment is received.

Method of Payment

                            
Make checks payable to RABA and mail to:

Ralston Area Baseball Ass'n
VP of Player Personnel
PO Box 27103
Ralston, NE 68127-0103