T-Ball Registration Form

Every child participating must have a form completed by a parent/guardian. Please fill out this form COMPLETELY and sign where indicated.

Child's Name *

First

Last

Child's Gender *

Child's Age *

Address *

Address Line 1

City

State

Zip Code

Phone *

Parent/Guardian's Name *

First

Last

Email *

Emergency Contact *

First

Last

Emergency Contact Phone *

Waiver

Application Signature *

Clear Signature

I, the parent/guardian of registrant, a minor, do agree and will abide by all the rules of R.P Newman Realty. I recognize the possibility of physical injury associated with participating in R.P Newman Realty sponsored activities, do release the R.P Newman and its staff members from all liability for any injuries sustained while on R.P Newman Realty property and/or participating in R.P Newman Realty activities.

Date / Time *

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