Carolina Vipers Fall Baseball Youth Tryouts

Carolina Vipers Baseball Fall Youth Tryouts

Carolina Vipers
2013 FALL BASEBALL TRYOUTS

TRYOUTS FOR THE 2013 FALL UNION COUNTY VIPERS BASEBALL TEAMS WILL BE HELD SATURDAY, AUGUST 3RD AT THE ATHLETIC BARN AND SATURDAY, AUGUST 10TH AT A FIELD LOCATION TBD
9U— 9:00AM-11:00AM
10U—9:00AM-11:00AM
11U—1:00PM-3:00PM
12U—1:00PM-3:00PM
13U—4:00PM-6:00PM

For more information, please contact:
WAXHAW ATHLETIC BARN
5412 WAXHAW MARVIN RD.
WAXHAW, NC 28173
(704) 999-1635

WWW.GOVIPERBASEBALL.COM

Fall Union County Vipers Tryout Registration Form
Please complete this form and fax to (704) 749-9414 or email to [email protected] This information will only be used by the coaching staff of the Union County Vipers and will not be shared with any other parties. Fall Tryout fee will be $15 per player.
1. General Player’s Name: __________________________________
Birth Date: _________
Address: __________________________________________________________
Father’s Name: ______________________________________________________
Phone: __________________________
Email: __________________________
Mother’s Name:______________________________________________________
Phone: __________________________
Email: __________________________
2. Fall Obligations Player’s 2013 Expected Fall/Winter Sports Activity (if not playing another sport leave blank)
3. Most Recent Baseball Experience Season/Year Division/Age Group Park or Location Coach’s Name 4. Most Recent Position(s) Played: Pitcher Catcher 1st 2nd 3rd Shortstop Outfield
5. Availability Please indicate any schedule conflicts (specific days of the week, vacations, etc.) that you and your child may have. Also provide any other comments about your child or the travel ball experience that you would like to share with coaching staff: ______________________________________________________________
_____________________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________________________
WAIVER: I hereby request and grant permission to the instructors and officials of the Union County Vipers to provide care to my child in the event of injury or illness if I am not present. Such care may include, but shall not be limited to, first aid treatment, transporting to a medical facility or the summoning of emergency assistance. I the undersigned parent or appointed guardian of the above named child, do hereby agree to indemnify and hold harmless the UCV organization and its officials, managers, coaches, and assistants from all liability for the above named child’s activities of any nature with said association. I acknowledge that participation in this tryout and related activities involves an inherent risk of physical injury, and on behalf of the registrant, hereby assume all such risk and do hereby release and forever discharge the UCV and all agents thereof from any and all liability of whatever kind of nature, arising from and by reason of any and all known and unknown, foreseen and unforeseen bodily and personal injuries, damage to property, and the consequences thereof, resulting from this registrant’s participation in or involvement with this clinic, including any failure of equipment or defect on or in the premises.
Signature of Parent or Guardian:_____________________________
Date:______________________
Emergency Contact Phone #:_______________________________