Player Permission Form

Player's parent permission From

Piper Davis
6th Annual National Inner-City Tournament
Birmingham, AL.
July 13-17, 2021

* Indicates required field

Player's Name *

First

Last

Age *

Address *

City / State *

Zip *

Phone# *

Emergency Contact Name and Phone *

Email *

School *

Uniform Pant Size *

Jersey Size *

I ( Guardian Signature) Electronic Signature *

give permission for my child to participate in Piper Davis National Baseball. The organization is released of any liability in the event of any injuries which result from the normal play of the game.I will assume all financial responsibility for my child’s injuries, as well as all financial responsibility including damage to persons and property inflicted by my child. Piper Davis National Baseball has my permission to take reasonable measures in an emergency situation, including seeking medical treatment.
I fully understand and agree to the terms stated above.

I also agree to turn in all equipment that is issued to my child at the end of the season.

Last physical examination? *

Does your child have any medical problems? *

Yes No

I have medical insurance that covers my child. *

Yes No

Coverage provided by: *

Policy # *

Electronic Signature *

Date *

I agree to receiving marketing and promotional materials *

Submit