2. First Name*
3. Last Name*
5. Email Address*
6. Phone Number*
8. Participant is the same as above

   1. Yes
10. Participant First Name
11. Participant Last Name
13. Address1
15. City
16. State
17. Zip
19. Participant Birthdate*
    Participant Birthdate
20. Birth Certificate
22. Emergency Contact #1 Name and Phone*
24. Emergency Contact #2 Name and Phone
26. Do you have any special needs or require any accommodation?

    1. YES

    1. NO
28. There are no refunds or exchanges on uniforms. Please choose one shirt size and one pant size.
30. UNIFORM SHIRT SIZE*
    -- Select One --YOUTH ADULT
31. YOUTH SIZE SHIRT

    1. Small
    2. Medium
    3. Large
    4. XLarge
    5. Other: Contact Katie
32. ADULT SIZE SHIRT

    1. Small
    2. Medium
    3. Large
    4. XLarge
    5. Other: Contact Katie
34. UNIFORM PANT SIZE*
    -- Select One --YOUTHADULT
35. YOUTH SIZE PANT

    1. Small
    2. Medium
    3. Large
    4. XLarge
    5. Other: Contact Katie
36. ADULT SIZE PANT

    1. Small
    2. Medium
    3. Large
    4. XLarge
    5. Other: Contact Katie
38. Name for back of jersey.
40. Number for back of jersey 1st choice
41. Number for back of jersey 2nd choice
43. Waiver and Release

    While we realize that the Village of River Grove will take every possible safety precaution in the performance and operation of the above event or program, we the undersigned, adult or parent/guardian, acknowledge the  Village of River Grove, its employees, supervisors, and representatives cannot be held liable for any accidental injury or illness.  In cases of minors, you give your consent for emergency care to be called for and administered if those situations should arise.  PHOTO POLICY: The Village of River Grove periodically takes photographs or videos during a class, game, event, or at facilities or parks.  I grant full permission to the VIllage to use my name, photograph, video, or recording for any publicity promotion without obligation or liability.

45. Link to Parent and Athlete Code of Conduct
    Athlete and Parent Code of Conduct

    Please print, read, and sign. To be turned into the coach by the 1st game.

47. Parent/Guardian Signature
48. Date*
    Date
50. Registration Fee*
    -- Select One --Spring Baseball - $120.00
51. Cost of Activity
Leave This Blank:


57. Calculate Totals Proceed to Checkout

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