Fall Ball Registration

Complete the player registration below, then continue to secure Stripe payment.

T-Ball

Ages: 4–6

Program Fee: $60

Length: 6 weeks

Schedule: Sundays, 2:00–4:00 PM

Dates: Sept. 13 – Nov. 1

8U–14U Fall Ball

Ages: 8–14

Program Fee: $80

Length: 8 weeks

Schedule: Wednesdays, 5:30–7:30 PM

Schedule: Sundays, 1:00–4:00 PM

Dates: Sept. 9 – Nov. 1

Player Information

Player First Name *

Player Last Name *

Address *

City *

State *

Zip *

Date of Birth *

Age *

Grade

Gender *

Fall Ball Program *

Sibling Information

Sibling Participating?

Sibling Name

Sibling Age

Parent / Guardian Information

Parent/Guardian 1 Name *

Relation *

Phone *

Parent/Guardian 2 Name

Relation

Phone

Email *

Interested in Coaching or Assisting?

Medical & Emergency Information

Medical Problems, Allergies, or Restrictions

Emergency Contact Name *

Emergency Contact Phone *

Doctor Name

Doctor Phone

Participation Release & Conduct Agreement

I give my child permission to participate in Liberty Township Baseball Association activities. I assume all risks and hazards incidental to participation, including transportation to and from activities.

I waive, release, absolve, indemnify, and agree to hold harmless Liberty Township Baseball Association, its organizers, sponsors, supervisors, participants, volunteers, and persons transporting any child to and from activities for claims arising from injury or death, except to the extent covered by accident or liability insurance.

I agree to abide by LTBA rules, regulations, and the Parent/Fan and Player Code of Conduct. I understand that once a player has been placed on a team, refunds are not issued unless a team cannot be formed for that age bracket because of insufficient players.

I have read and agree to the LTBA participation release. * I have read and agree to the LTBA Parent/Fan and Player Code of Conduct. *

Printed Parent/Legal Guardian Name *

Date *