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2024 Fall Ball T-Ball Registration (4-6 year old)- SINGLE PLAYER

* Required Fields
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Fee: $70.00Registration fee does not include uniform cost. Registration must be paid by July 21 2024 to be placed on a team unless other arrangements have been made. Please contact Decatur American Treasurer, Tyaan McGowen, if other arrangements are necessary.
Participant Information
*First Name
Middle Name
*Last Name
Gender
 Male 
 Female 
School
Lives with:
Age Division Verification: 
Player's age division is determined based on their age as of May 1, 2025.  
*Date of Birth:
*Age Division:
*Player Jersey Size
*Preferred Number Choice #1 (00-99)
*Preferred Number Choice #2 (00-99)
Years of Experience
Positions Played Previously
Participant Medical Information
Medical Conditions/Allergies
Special Needs/Requests
Parent / Guardian 1 Information
*Guardian 1 First and Last Name
*Relationship
*Guardian 1 Email
Parent / Guardian 2 Information
Guardian 2 First and Last Name
Guardian 2 Email
Relationship
Don't type in this field
Waiver
Waiver
I, the parent or guardian, of the above named candidate for a position in Dixie Youth Baseball, Inc. and Decatur American Dixie Youth Baseball, hereby give approval to his/her participation in any and all league activities during the current season. I assume all risks and hazards incidental to such participation, including transportation to and from activities, and do hereby waive, release, absolve, indemnify and agree to hold harmless the parent or local league organization, organizers, sponsors, supervisors, participants and persons transporting the player to and from activities for any claim arising out of an injury to the player, except to the extent andJin the amount covered by accident and/or liability insurance held by the local league. 
I also grant permission to managing personnel or other league representatives to authorize and obtain medical care from any licensed physician, hospital or medical clinic should the player become I'll or injured while participating in league activities away from home, or at other times when neither parent/guardian is available to grant authorization for emergency treatment. 
I agree to return upon request any equipment issued. 
 
*Waiver confirmation
 I have read and agree with the waiver. 
Amateur Athletic Waiver and Release of Liability
In consideration of being allowed to participate in any way in Decatur American Dixie Youth Baseball (Decatur American DYB), related events and activities, the undersigned acknowledges, appreciates and agrees that:
1) The risk of injury from the activities involved in this program is significant, including the potential for permanent paralysis and death, and while particular rules, equipment, and personal discipline may reduce this risk, the risk of serious injury does exist.
2) I knowingly and freely assume all such risks, bith known and unknown, even if arising from the negligence of the releasees or others, and assume full responsibility for my participation.
3) I willingly agree to comply with the stated and customary terms and conditions for participation. If, however, I observe any unusual significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the nearest official immediately.
4) I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, hereby release and hold harmless Decatur American DYB, their officers, officials, agents, and /or employees, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors of premises used to conduct the event ("RELEASEES"), with respect to any and all injury, disability, death, or loss or damage to person or property, whether arising from the negligence of the releasees or otherwise, to the fullest extent permitted by law.
I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.
This is to certify that I, as parent/guardian with legal responsibility for this participant, do consent and agree to his/her release as provided above of all the Releasees, and for myself, my heirs, assigns, and next of kin, I release and agree to idemnify and hold harmless the Releasees from any and all liabilities incident to my minor child's involvement or participation in these programs as provided above, EVEN IF ARISING FROM THEIR NEGLIGENCE, to the fullest extent permitted by law.
*Amateur Athletic Waiver and Release of Liability
 I am the childs parent/guardian and have read and understand the waiver and release 
Social Media and Photography Waiver
I give permission for photos of my child to be taken while participating in Decatur American Dixie Youth Baseball activities. I understand photos could be used on social media platforms (i.e., Facebook and Instagram).
*Social Media and Photography Waiver
Refund Policy
The Policy
There will be no refunds given out after July 24, 2024. 
*Refund confirmation
 I have read and understand the refund policy. 
Total Due:
$ 
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