Registration Champion Baseball League Registration FormPlease enable JavaScript in your browser to complete this form. - Step 1 of 6Child's Name: *FirstMiddleLastNickname:Gender: *MFStreet Address: *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeSchool:Birthday: *MM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Age *Once birthday is entered, you can use "Calculate Age" button above to calculate age as of April 30th or you can just enter it.Height-Feet: *Enter # of feetHeight-Inches: *Enter # of inches (enter 0 if none)Weight: *(in lbs--enter whole number by rounding to the nearest pound)NextParental Contact Information:Primary Contact Type: *MotherFatherGrandmotherGrandfatherLegal GuardianPlease select the primary contact individual.Primary Name: *FirstLastPrimary Phone: *Enter the primary phone to be used for contact.Primary Email: *Enter the primary email address to be used for contact.Secondary Contact Type:(None)MotherFatherGrandmotherGrandfatherLegal GuardianPlease select the secondary contact individual.Secondary Name:FirstLastSecondary Phone:Secondary Email:PreviousNextBaseball & Softball Information:Years of Baseball/Softball Experience: *Pitching Experience: *NoYesCatching Experience: *NoYesChild Shirt Size: *YXS - Youth Extra SmallYS - Youth SmallYM - Youth MediumYL - Youth LargeYXL/AS - Youth XL / Adult SmallAM - Adult MediumAL - Adult LargeAXL - Adult XLXXL - 2 Extra Large(Optional) Adult Shirt & Hat Order:(None)S - SmallM - MediumL - LargeXL - Extra LargeXXL - 2 Extra LargeOptional - Additional $30 costFirst year in league? *YesNoIs this your child's first year with this league?Division requested for the upcoming season: *Choose divisionT-Ball (4-6)Youth (7-8)Minors (9-11 year boys)Majors (6th-8th grade boys)Seniors (9th-12th grade boys)Youth Softball (13U girls)Jr Varsity Softball (18U girls)Select the division you would prefer for your child this season.League/Team Preference (or) Special Circumstances:Please provide if you have any league or team preference, or if you have special circumstances that you would like to provide.PreviousNextEmergency Contact InformationEmergency Contact Type: *Choose Contact TypeMotherFatherGrandparentGuardianSiblingFriendOtherEmergency Contact Other Type:Please enter the contact relationship to the child.Emergency Contact Name: *Emergency Contact Phone: *Acknowledgement of ParticipationEnter your child's first and last name here: *We, the undersigned, parents of (child’s name listed above), hereby release Champion Baseball League, its directors, promoters, coaches and participants from any responsibility and liability for ANY injury, which our child may receive while participating in the spring/summer baseball/softball league. We further release Taylors First Baptist Church, Fairview Baptist Church, and Faith Baptist Church and all persons connected therewith, for any injury of ANY nature sustained by me, my child or my family while present upon any part of the campus of Taylors First Baptist Church, Fairview Baptist Church, and Faith Baptist Church in connection with the baseball/softball program whether as a player, spectator, or going to or from any practice or game. We agree to indemnify and hold harmless all of the above-named persons from any claims and/or costs of defending against said claims resulting from any injury to me or my child in connection with my child’s involvement in said baseball/softball program. IN THE EVENT OUR CHILD BECOMES INJURED OR ILL WHILE WE ARE NOT IN ATTENDANCE, THE COACH OR TEAM REPRESENTATIVE HAS OUR PERMISSION TO SEEK MEDICAL TREATMENT FOR MY CHILD BY QUALIFIED MEDICAL PERSONNEL, IF THEIR OWN PERSONAL PHYSICIAN CANNOT BE LOCATED IMMEDIATELY. We, the parents, will be responsible for any and all financial indebtedness to emergency establishments and physicians resulting from the treatment of our child. WE HAVE READ AND FULLY UNDERSTAND AND CONSENT TO ALL THE ABOVE STATEMENTS AND THAT THE INFORMATION PROVIDED PERTAINING TO OUR CHILD IS ACCURATE.Father/Mother/Legal Guardian Printed Name: *Father/Mother/Legal Guardian Initials: *Acknowledge participation and sign by entering your initials here.PreviousNextMedical InformationChild's Physician: *Physician's PhoneMedications:List all medications your child is currently taking.Please select any condition that your child may have:AllergiesHeart ConditionAsthmaDiabetesIf any are selected, please comment below.Comments about above conditions:Describe any other ailments:Please describe any other medical ailments under physician's care.Medical Insurance Company:Policy Number:PreviousNextCBL (Parent/Guest/Player) Code Of Conduct Agreement:We are thankful that the churches allow us to use their facilities. Please help us keep this privilege, by complying with the CBL Guest Code of Conduct agreement (attached). Signature in space below acknowledges you have read and agree to the follow the guidelines listed in the COC. If you have any questions, check with your child’s coach or a CBL Committee Member. CBL reserves the right to use the rights to use photographs/videos taken at CBL events for marketing and promotional services. CBL Code of Conduct (right-click to download)Code of Conduct Parent Initials: *Accept the CBL Code of Conduct and sign by entering your initials here.PreviousMessageSubmit