15u National Summer Registration - Boyd Choose Your Program*15u National Team $3,850Your credit card will be billed $770 after the completion of this form. It will then be billed on the same day each month until the balance of $3,850 is paid off (5 Total Payments) THERE ARE NO REFUNDS FOR TEAM PAYMENTSPlayers Name* First Last Date of Birth* Players Email* Players Cell Phone*Players Grad Year* Players High School* Home Address* Jersey Size*SmallMediumLargeExtra LargeXXLHat Size*SmallMediumLargeExtra LargeParents Name* First Last Parents Email #1* Parents Email #2 if necessary Parents Email #3 if necessary Parents Cell Phone*Statement of Wellness for Participation and to Administer Treatment:* I verify, to the best of my knowledge, my child is able to participate fully in the Elite Baseball baseball program. In case of medical emergency and the event that the parent/guardian cannot be immediately contacted, I hereby give my permission for emergency treatment (i.e. EMT, First Responder, E.D) to be administered to my child. I release Elite Baseball, LLC and their employees from all liability for any personal injury, illness, loss or damage to property. I agree to assume liability for any expenses incurred in such an emergency (transportation, hospitalization, etc). Please list any/all ALLERGIES, MEDICAL CONDITIONS, MEDICATIONS and SPECIAL NEEDS:Photo/Video Release* I give my permission for Elite Baseball to use any photos/videos taken during the season in which my child may appear in: Understanding of Risk* I understand the seriousness of risk involved in participating in this program, my personal responsibility to adhere to rules and regulations, and accept them as a participant. Player/Parent Code of Conduct*1. Fighting and other conduct intended to injure others will not be tolerated and may be grounds for immediate removal from the game, field complex or program. 2. Vulgar and disrespectful language or conduct will not be tolerated and may be grounds for immediate removal from the game, field complex or program. 3. Any disagreement with an Umpire must be handled in a courteous and respectful manner by the appropriate person - be it a coach, or team manager. 4. The players and coaches from your team and all teams are to be treated with respect at all times. Good sportsmanship is to be used and encouraged at all times. 5. Each parent and coach is expected to set a good example for the players with respect to self control and the treatment of umpires, and opposing coaches, players and parents. 6. Do not embarrass your child by yelling at players, coaches or officials. By showing a positive attitude toward the game and all of its participants, your child will benefit. 7. Parents know the rules of the game, and support the officials on and off the field. Any criticism of the officials only hurts the game. 8. Coaching from the stands during games and practices is detrimental to the goals of Elite Baseball and is prohibited. 9. All questions, complaints, grievances and comments shall be directed to the appropriate team manager at an appropriate time. 10. No parent or player will engage in any behavior or conduct that is detrimental to the individual teams; coaching staffs; or the general operations of the Elite Baseball Fall Team. FAILURE TO ABIDE BY THE "CODE OF CONDUCT FOR PLAYERS AND PARENTS" MAY BE GROUNDS FOR SUSPENSION OF PARENT AND/OR PLAYER, AND/OR REMOVAL FROM THE TEAM. THERE ARE NO REFUNDS IF A PLAYER IS REMOVED FROM THE TEAM IF THE PLAYER OR PARENT VIOLATES THE CODE OF CONDUCT I agree to the Player/Parent Code of Conduct Policy Emergency Contact Name* Emergency Contact's Phone Number* * I authorize all medical and surgical treatment, X-ray, laboratory, anesthesia, and other medical and/or hospital procedures as may be performed or prescribed by the attending physician and/or paramedics for my child and waive my right to informed consent of treatment. This waiver applies only in the event that neither parent/guardian can be reached in the case of an emergency. Coupon Total $0.00 The amount you will be charged now.Credit Card* American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Month010203040506070809101112 Year20222023202420252026202720282029203020312032203320342035203620372038203920402041 Expiration Date Security Code Cardholder Name