2012 Chattanooga State Baseball

Fall League

 

 

 

 

* Instruction / Supervision provided by the Chattanooga State Coaching Staff: Head Coach Greg Dennis and Assistant Coaches Joe Wingate and Adam Howard

 

*League open to all players grades 9-12

 

*Players grouped and placed on teams according to age and ability

 

*Each team will attempt to play 12 games under the supervision of the Chattanooga State Coaching Staff.

 

*Each player will receive a uniform top

 

*We will limit the total number of participants to 75.  Please don’t wait to sign up!!!

 

*Cost: $100.00 for RETURNING PLAYER

$200 for 1^ST TIME PLAYER

 

Make checks payable to:  Chattanooga State Baseball

Make checks payable to:  Chattanooga State Baseball

*Make checks payable to:

 

Chattanooga State Baseball

 

 

To Register:

1. Complete the player information and the release agreement on the back of this sheet.

2. Mail along with payment to:

               ChSCC Baseball

               4501 Amnicola Hwy

               Chattanooga, TN 37406

 

 

 

Player Information:

 

Name_______________________________            

Age_________     Current grade_________                                                                          

High School______________________________

 

Email address____________________________

 

Home phone___________________________

 

Address_____________________________

 

Guardian’s name___________________________

 

Phone number______________________

 

Alternate Phone number_____________________

 

 

 

Top 3 Positions:

 

1. _______________

 

2. _______________

 

3. _______________

 

 

Shirt size:    M        L       XL       XXL

 

Have you played in our fall league before? 

 

 

 

 

 

 

 

 

 

PERMISSION AND RELEASE AGREEMENT

 

I execute this Agreement in consideration of my child being permitted by Chattanooga State Community College to participate in the Chattanooga State Baseball Fall Instructional League.  I understand that the camp will include but not be limited to the following activities:

 

vigorous physical exercise including running and jumping

instruction and participation in baseball games and drills

 

I represent and warrant that my child is in good physical condition and is able to safely participate in the baseball league.

 

I recognize that there are risks and hazards directly or

        inherently involved, making these and related activities potentially dangerous.  With full knowledge and appreciation of these potential risks and hazards, I voluntarily grant permission for my child to participate in these activities and assume all responsibility and risk from his/her participation in these activities, including all risk of loss of limb or life, property damage, or injury to others.

 

         I, on behalf of myself, my child, our family, heirs and legal               representatives, release Chattanooga State Community                 College, its students, agents, employees, officers, and            trustees, from any liability for damage or loss to my   child’s person or property, which may arise out of his or           her participation in this baseball league.

 

I grant permission for Chattanooga State Community College, its students, agents, or employees to obtain necessary medical attention in case of sickness or injury to my child.  I consent to any medical examination, diagnosis, or treatment and agree to be responsible for costs of such medical services.

 

I have fully informed myself of the contents of this Agreement by reading before being signed.

 

Name of Fall League Participant

________________________________________

Parent or Legal Guardian

________________________________________

 

Date_____________

 

Personal Physician____________________________________

Phone Number______________________

 

Health Insurance Company_______________________________

Policy Number___________________________

 

Please identify any past or current medical conditions and/or allergies of which knowledge may be necessary for effective treatment:

 

Current Medications: