DPR BASEBALL REGISTRATION

REGISTRATION FEES:
5-6 Co-Ed (Pitching Machine/Tee) $40
7-8 Pitching Machine $50
9-10 Live Pitch $50
11-12 Live Pitch $50

Baseball is offered to any boy age 5-12. Players will be placed on teams according to their age on May 1, 2023.

THE DEADLINE TO REGISTER FOR BASEBALL IS THURSDAY, MARCH 30, 2023. ALL FORMS AND PAYMENT MUST BE RECEIVED BY THE DEADLINE.

Baseball glove required to participate. Individual batting helmets are encouraged to promote
Health and Safety. No metal cleats. Uniform shirt is provided by DPR.

Player's Name * First Last
Birthdate * / MM / DD YYYY
Age on May 1, 2023 *
PLAYER'S AGE DIVISION *

PLAYER'S AGE DIVISION 5-6 Co-Ed 7-8 Boys 9-10 Boys 11-12 Boys
Medical Condition of Player

Please list any medical condition the coach would need to be aware of.
PLAYER'S SHIRT SIZE *

PLAYER'S SHIRT SIZE Youth Small Youth Medium Youth Large Adult Small Adult Medium Adult Large Adult XLarge
If you have a sibling playing in the same league, list their name so that they will be placed on the same team. Remember only siblings in the same household will be placed on teams together. If you have a special circumstance please contact the park office.
Parent/Guardian Name * First Last
Be advised, all DPR sports are considered "contact sports" At some point, whether it be a practice or a game, players may experience physical contact from his/her coach or other players. This contact may take place as a coach teaches a skill that requires hands-on instruction, players are running drills against each other or it may simply be an act of praise. However, we do not tolerate aggressive physical behavior from our coaches.
Phone * - ### - ### ####
Additional Phone - ### - ### ####
Relationship to Player *
Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Email Address *
Other Parent Information:
I am interested in: *

I am interested in: I do not want to coach/help Coaching for this player's team Officiating Sponsoring a team
Coach Shirt Size if Coaching:
Parent Shirts ($15 YS-AXL, $17 A2XL-A3XL) *

Parent Shirts ($15 YS-AXL, $17 A2XL-A3XL) I do not want any shirts Youth Small Youth Medium Youth Large Adult Small Adult Medium Adult Large Adult XLarge Adult 2X (+$2) Adult 3X (+$2)
Note any additional Parent Shirt Sizes or Quantities here:
Registration Confirmation
You will receive a email confirmation stating DPR received your registration form. If you do not receive confirmation of registration please contact the park office 573-624-8244, it is your responsibility to confirm receipt of registration form. If DPR does not receive your registration and you do not have proof of registration (screen shot or email) your registration will not be accepted.
Payment Options *

Payment Options Pay Online with PayPal Pay at the Park Office Dropped payment in night drop

All registration forms and payment must be received by the deadline.

Online Payments are processed through PayPal. When registration form is submitted you will be redirected to a Thank You page so that you can add the registration fee to your Cart.
Draw your signature into the box below. *

Clear
We, as parents/guardians of the above named child give our permission to his/her participation in this year's program. We assume all risks and hazards incidental to such participation in this program. We understand we are responsible for our child's transportation to games and practices and for the return of any uniform or borrowed equipment in our possession at the end of the season. Signing below gives Department of Parks and Recreation and its assigns, both during and anytime after, to use their likeness, name, voice, or words in either television, radio, film, newspaper, magazines, social media, and other media, and in any form, for the purpose of advertising or communication the purpose and activities of the Department of Parks and Recreation.
After submitting online form you will receive an email this is your proof on online registration. All forms and payments must be received by the deadline. After submitting this form you will be taken to a PayPal page to make payment. *
IMPORTANT NOTIFICATION INFORMATION
**NEW** PLEASE READ
SIGN UP FOR REMIND TO RECEIVE SCHEDULE CHANGES, CANCELLATIONS, AND INFORMATION REGARDING THE PROGRAM. For existing Remind Users: Group Name: DPR Baseball Remind Code: @712recbase To receive text messages, text @712recbase to 81010. Group Name: DPR Coed Baseball Remind Code: @56coedbase To receive text messages, text @56coedbase to 81010.