2019 Decatur National-4 Year Old T-Ball

* Required Fields
Printer-friendly blank form
4yo T-Ball Birthday Range
May 2014 - April 2015
*Child's First Name
*Child's Middle Name
*Child's Last Name
*Child's Date of Birth
Don't type in this field
*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 last name
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 Umpires and Scorekeepers.  Each Child will also be asked to participate in our Fundraiser which helps to cover costs that are not included in standard fees.
*PARENT OR LEGAL GUARDIAN ACKNOWLEDGEMENT
 I certify that the above information above is true and correct and I have read and understood the Code of Conduct Policy in the Decatur National Rule Book.

I agree the Decatur National Dixie Youth League will be my primary league and that Decatur National Dixie Youth League games and practices will take priority over any other leagues in which my child participates (e.g. Travel Ball). If a player misses a Decatur National Dixie Youth League team outing because of play in another league (excluding school) the board will issue a warning. Any further instances may result in removal from the league with no refund.

The Minor Waiver must be signed before participation in any Decatur National Dixie Youth League activities. Please bring this waiver signed to the player evaluation.

All of our volunteers submit to a background check and follow our Abuse / Molestation Risk Management Program.

We are also providing you with a Parent's Guide to Child Abuse
*PHOTO RELEASE
 In consideration of participation in Decatur National Dixie Youth, the parent agrees that their likeness, or the likeness of their child/ward may be photographed or videotaped and that such image may be published in an outlet used to promote or publicize the sports program. 
SCHOLARSHIP INFORMATION
 I would like to sponsor and additional child (include additional $70.00 with registration fee) (+$70.00)
VOLUNTEER
 I am willing to volunteer my time to help coach, be a team mom, help with fundraisers, or help with tournaments this year.

If you are willing to volunteer you must sign and return the background check authorization form and the Coaches Code of Conduct

You must also read our Abuse/Molestation Risk Management Program document.

Your background check must be complete before you are able to participate in on field events with your team. The background check cost of twenty dollars ($20) must be paid by the volunteer and it lasts three (3) years. 
Total Due:
$ 
Important: To receive a confirmation email, please enter your email address here

Please fix the errors indicated above and try again.