T-BallForm

T-Ball Registration

* Indicates required field

Child 1 *

First

Last

Age *

Grade *

Sex *

T-Shirt Size *

School *

Child 2 *

First

Last

Age *

Grade *

Sex *

T-Shirt Size *

School *

Child 3 *

First

Last

Age *

Grade *

Sex *

T-Shirt Size *

School *

Child 4 *

First

Last

Age *

Grade *

Sex *

T-Shirt Size *

School *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Please list any physical, learning, or emotional challenges or limitations and/or medications the coaches need to know about. *

Primary Contact *

Relationship *

Phone Number *

Email *

Secondary Contact *

Relationship *

Phone Number *

Email *

Volunteer Support *

Sponsorship ($175.00) - if yes, please include name and contact information *

Sponsor Name & Contact Information *

Consent for Participation

I the parent/ guardian of the registrant, a minor, agree that the registrant and I will abide by the rules/ guidelines of the HCC it’s affiliated organizations and sponsors. Recognize the possibility of physical injury associated with the t-ball program and in consideration for the HCC, accepting the registrant for its programs and activities. I hereby release, discharge and or otherwise indemnify the HCC, its affiliated organizations and sponsors, their employees and associated personnel, including the owners of facilities utilized for the program against any claims by or on behalf of the registrant as a result of the registrant’s participation in the program and or being transported to or from the same, which transportation I here-by authorize. Further permission must be granted by the HCC for the registrant without insurance coverage to participate.

Signature / Name *

Consent for Minor Medical Treatment

As a parent or legal guardian of the above participant, I hereby give my consent for emergency medical care prescribed by a duly licensed Doctor of Medicine or Doctor of Dentistry . This care may be given under whatever conditions are necessary to preserve the health and safety of the participant.

Signature / Name *

Date *

Medical Insurance *

Doctors Name *

Phone *

(Participation will not be denied based on whether or not participant is insured)

Parent/Guardian COVID Guidelines Consent

The Huntingdon Community Center would like to welcome you and your child/ren during this complicated time. We have taken a lot of consideration in making a safe environment for physical activity and socialization while keeping your child’s safety and health our priority. To make this program successful during the COVID-19 pandemic, it is important that you understand and follow these guidelines to create a safe environment for our youth athletes.

Please read the following guidelines and select an option below:
Before practice:

Each child should have their own face covering, hand sanitizer, and water bottle, labeled with their name.
Athletes should stay home if they are feeling sick or have a fever.
Wash hands before arriving to practice.
Stay in the car until the coach is ready to start practice and avoid gathering in groups prior to the start of practice.

During practice or games:

When possible, athletes should maintain 6 feet apart.
When possible, athletes should wear face coverings on the sidelines or team chats.
However, masks are not required during active exercise.
Athletes should not be sharing personal equipment.

After practice or games:

Sanitize or wash hands.
Wash face coverings and uniforms.
Clean personal equipment and water bottles.

Game drop-off and pick-up:

Games will be scheduled at staggered times.

Parent/Guardian COVID Guidelines Consent *

Photo/Video Consent

I/We grant permission for my child to have his/her photo/video taken and published on the HCC Programs public internet site or any other type of media.

Photo/Video Consent *

Submit