2019 Decatur National Dixie Youth Baseball (Minor B, Minor A and Ozone)

* Required Fields
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League Fees (early registration discount)
5/6 yr old: $85.00
7/8 yr old: $100.00
9/10 yr old: $100.00
11/12 yr old: $100.00
League Age Birthday Ranges
5/6         May 2012 - April 2014
7/8         May 2010 - April 2012
9/10       May 2008 - April 2010
11/12     May 2006 - April 2008
*Child's First Name
*Child's Last Name
Don't type in this field
*Child's Date of Birth
*Age Division
*Jersey Size
*Name of Parent or Legal Guardian
*Relation to Child
*Address
*City
*State
*Zip Code
Name of Parent or Legal Guardian
Relation to Child
Address
City
State
Zip Code
Home Phone
*Cell Phone #1
Cell Phone #2
*Email Address #1
Email Address #2
*Emergency Contact
*Emergency Contact Phone #
*School Player Currently Attends
*Teacher's name
Age Group Child Played in Last Year
Team Child Played on Last Year
The Registration Fees will include the cost of a Uniform Hat and Jersey.  Each Player will also be required to purchase their Uniform Pants, Socks and Belt.  Fees supplement costs for Field Maintenance, Umpires and Scorekeepers.  Each Child will also be asked to participate in our Fundraiser.
*PARENT OR LEGAL GUARDIAN SIGNATURE
 I certify that the above information above is true and correct and I have read and understood the Code of Conduct Policy.  I also agree the DYB National League will be my primary league and that DYB National League games and practices will take priority over any other leagues in which my child participates (e.g. Travel Ball). 
*PHOTO RELEASE SIGNATURE
 I authorize Decatur National to use photos/videos, and/or other likenesses of myself and/or my child or the child for whom I have legal guardianship for any promotional materials regarding Decatur National programs, facilities, or services.

Such likenesses will not be sold to other parties. Promotional materials bearing these likenesses may be distributed for free to the public and posted on the Decatur National website and social media outlets. Decatur National reserves the right to use any photo/video or likeness for a time period beginning when this form is signed and ending upon written request of participant, parent or legal guardian. 
SCHOLARSHIP INFORMATION
 I would like to sponsor and additional child (include additional $120.00 with registration fee) (+$120.00)
VOLUNTEER
 I am willing to volunteer my time to help coach, be a team mom, help with fundraisers, or help with tournaments this year. 
Subtotal:
$ 
Early Registration discount:
$-25.00
Total Due:
$ 
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