Farmington Flames Registration FormPlease enable JavaScript in your browser to complete this form.Parent or Guardian Information - Step 1 of 6Parent or Guardian Name or Rock River Player (over 18) *FirstLastEmail *Phone *Address *Address Line 1Address Line 2CityWisconsinAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeYour relationship to the child *ParentLegal GuardianOtherPlease explain *what is your relationship to the player(s)Adult League RRL or All Other Leagues *Adult League RRLAll Other LeaguesWould You Like to Add contact information for another Parent or Gaurdian? *Yes.No.NameFirstLastEmailEmailConfirm EmailPhoneNextPlayer InformationName of Player *FirstLastPlayers Date of Birth *MM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Player's gender *MaleFemaleSelect One *Tee Ball 4-6Jr. Pee Wee 6-8Pee Wee 8-10Little League 10-12Pony 13 - 15Brooks - 15-18Rock River 16 and UpFast Pitch SoftballFor Baseball selection is made based on age of player after June 1st. (eg. if your player is 12 and will be turning 13 before June 1st then you would select Pony.)Tee Ball RegistrationPrice: $35.00Baseball Registration Fee - Jr. Pee WeePrice: $75.00Baseball Registration Fee - Pee WeePrice: $100.00Baseball Registration Fee - Little LeaguePrice: $100.00Baseball Registration Fee - PonyPrice: $100.00Baseball Registration Fee - BrooksPrice: $100.00Baseball Registration Fee - Rock River LeaguePrice: $100.00Softball Registration FeePrice: $100.00Baseball Shirt Size *Youth SmallYouth MedYouth LargeYouth XLSmallMediumLargeX Large2XPee Wee - Rock River LeagueSoftball Shirt Size *Youth SmallYouth MediumYouth LargeYouth XLSmallMediumLargeX LargeXX LargeBaseball PantsBaseball Pants - $25.00Pants Size *Youth SmallYouth LargeYouth MedSmallMediumLargeX LargeSoftball PantsSoftball Pants - $25.00Softball Pants Size *SmallMediumLargeX LargeNeed to Register another player? *YesNo2nd Player *FirstLast2nd Player's Date of Birth *MM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY202620252024202320222021202020192018201720162015201420132012201120102009200820072006200520042003200220012000199919981997199619951994199319921991199019891988198719861985198419831982198119801979197819771976197519741973197219711970196919681967196619651964196319621961196019591958195719561955195419531952195119501949194819471946194519441943194219411940193919381937193619351934193319321931193019291928192719261925192419231922192119202nd Player's gender *MaleFemale2nd Player Select One: *Tee Ball 4-6Jr. Pee Wee 6-8Pee Wee 8-10Little League 10-12Pony 13-15Brooks 15-18Rock River 16 and UpFast Pitch SoftballFor Baseball Only: Selection is made based on age of player after June 1st. (eg.if your player is 12 and will be turning 13 before June 1st then you would select Pony.)2nd Player Tee Ball Registration feePrice: $35.002nd Player Baseball Registration Fee - Jr. Pee WeePrice: $75.002nd Player Baseball Registration Fee - Pee WeePrice: $100.002nd Player Baseball Registration Fee - Little LeaguePrice: $100.002nd Player Baseball Registration Fee - PonyPrice: $100.002nd Player Baseball Registration Fee - BrooksPrice: $100.002nd Player Baseball Registration Fee - Rock River LeaguePrice: $100.002nd Player Fast Pitch Softball Registration feePrice: $100.00Baseball Shirt Size *Youth SmallYouth MediumYouth LargeSmallMediumLargeX Large2XSoftball Shirt Size *Youth SmallYouth MediumYouth LargeYouth XLSmallMediumLargeX LargeXX Large2nd Player Baseball Pants Baseball Pants - $25.00Pants Size *Youth SmallYouth LargeYouth MedSmallMediumLargeX Large2nd Player Softball Pants Softball Pants - $25.00Pants Size *SmallMediumLargeX LargeNeed to Register a 3rd player? *YesNo3rd Player's Name *FirstLast3rd Player's Date of Birth *MM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY202620252024202320222021202020192018201720162015201420132012201120102009200820072006200520042003200220012000199919981997199619951994199319921991199019891988198719861985198419831982198119801979197819771976197519741973197219711970196919681967196619651964196319621961196019591958195719561955195419531952195119501949194819471946194519441943194219411940193919381937193619351934193319321931193019291928192719261925192419231922192119203rd Player's gender *MaleFemale3rd Player Select One: *Tee Ball 4-6Jr. Pee Wee 6-8Pee Wee 8-10Little League 10-12Pony 13-15Brooks 15-18Rock River 16 and UpFast Pitch SoftballFor Baseball Only: Selection is made based on age of player after June 1st. (eg. if your player is 12 and will be turning 13 before June 1st then you would select Pony.)3rd Player Tee Ball Registration fee Price: $35.003rd Player Baseball Registration Fee - Jr. Pee WeePrice: $75.003rd Player Baseball Registration Fee - Pee WeePrice: $100.003rd Player Baseball Registration Fee - Little LeaguePrice: $100.003rd Player Baseball Registration Fee - PonyPrice: $100.003rd Player Baseball Registration Fee - BrooksPrice: $100.003rd Player Baseball Registration Fee - Rock River LeaguePrice: $100.003rd Player Fast Pitch Softball Registration feePrice: $100.00Baseball Shirt Size *Youth SmallYouth MedYouth LargeYouth X LargeSmallMediumLargeX Large2XLSoftball Shirt Size *Youth SmallYouth MediumYouth LargeYouth XLSmallMediumLargeX Large3rd Player Baseball Pants Baseball Pants - $25.00Pants Size *Youth SmallYouth LargeYouth MedSmallMediumLargeX Large3rd Player Softball PantsSoftball Pants - $25.00Pants Size *SmallMediumLargeX LargePreviousNextVolunteer Fee *Price: $150.00This fee is refundable when the 4 required volunteer jobs have been completed. This fee will be refunded at the end of the season. IF the 4 required jobs have not been completed you will not be refunded.Volunteer Code of Ethics & Conduct AgreementDuring my tenure as a volunteer Farmington Baseball U.A. I pledge to: 1. Cooperate with all participants involved with the activity. This includes officials, coaches, participants, parents and spectators. 2. Never physically, verbally or emotionally harm, hurt, humiliate or intimidate another participant, coach, parent or official. Never show frustration in the presence of players, parents, spectators, etc. 3. Never use profanity or language that is in bad taste. 4. Listen to and follow all direction from program directors and officials. 5. Communicate to all participants, players, parents, spectators and officials in a friendly and reasonable manner. 6. Respect all facilities, fields and equipment. 7. Participate to the best of my ability and in a safe and professional manner at all times. 8. Review and provide basic first aid principles if needed. Review/complete concussion awareness documents/training and be on the look-out for signs and symptoms while children are under my supervision. 9. Be knowledgeable of league rules, and communicate them to my players and parents as needed. 10. Demonstrate and require fair play and sportsmanship from your players at all times. Lead by example by demonstrating respect and class toward your opponent at all times. 11. Provide an environment that is free from aggressive behavior, violence, drugs, tobacco and alcohol. 12. Place the emotional and physical wellbeing of players and others ahead of a personal desire to win. 13. Treat each player as an individual, taking into account the large range of emotional and physical development for youth age groups. 14. Always remember that I am a youth sports volunteer, and that the game is for children and not adults. If I cannot participate according to this Code of Conduct and/or league rules, then depending on the seriousness of the offense(s), I understand that any, or all, of the following disciplinary actions may occur: - Verbal warning and written documentation - Immediate removal from activity including facility - Temporary suspension from participation including attendance at activity and/or facility - Suspension from the activity and/or facility (no refund, full or partial, of registration fee) - Indefinite Expulsion from all activities and facilities (no refund, full or partial, of registration fee). With my signature, which I voluntarily affix to this contract, I acknowledge that I have read, understood, and will do my best to fulfill the promises made herein. Volunteer Code of Ethics & Conduct Agreement *I have read and agree to the Volunteer Code of Ethics & Conduct AgreementSignature * Clear Signature I am interested in coachingHead Coach BaseballHead Coach Tee BallHead Coach Fast Pitch SoftballAssistant Coach Fast Pitch SoftballAssistant Coach BaseballAssistant Coach Tee Ball(you may select more than one item that interests you)PreviousNextConcussion and Head Injury Information: Parent Concussion AgreementAs a Parent and as an Athlete it is important to recognize the signs, symptoms, and behaviors of concussions. By signing this form you are stating that you understand the importance of recognizing and responding to the signs, symptoms, and behaviors of a concussion or head injury. Parent Agreement: I have read the Parent Concussion and Head Injury Information and understand what a concussion is and how it may be caused. I also understand the common signs, symptoms, and behaviors. I agree that my child must be removed from practice/play if a concussion is suspected. I understand that it is my responsibility to seek medical treatment if a suspected concussion is reported to me. I understand that my child cannot return to practice/play until providing written clearance from an appropriate health care provider to his/her coach. I understand the possible consequences of my child returning to practice/play too soon. Parent and Athlete Concussion Agreement *I have read the Parent and Athlete Concussion and Head Injury InformationParent or Guardian Name *FirstLastParent Signature * Clear Signature Date *MM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Athlete Concussion AgreementAthlete Agreement: I have read the Athlete Concussion and Head Injury Information and understand what a concussion is and how it may be caused. I understand the importance of reporting a suspected concussion to my coaches and my parents/guardian. I understand that I must be removed from practice/play if a concussion is suspected. I understand that I must provide written clearance from an appropriate health care provider to my coach before returning to practice/play. I understand the possible consequence of returning to practice/play too soon and that my brain needs time to heal.Parent and Athlete Concussion Agreement *I have read the Parent and Athlete Concussion and Head Injury InformationAthlete Name *FirstLastHave You ever had a concussion? *Yes.No.If Yes. How many concussions? *Have You ever experienced symptoms? *Yes.No.Did you report them? *Yes.No.Athlete Signature * Clear Signature 2nd Athlete Parent and Athlete Concussion Agreement *I have read the Parent and Athlete Concussion and Head Injury Information2nd Athlete Name *FirstLast2nd Athlete Have You ever had a concussion? *Yes.No.If Yes. How many concussions? *2nd Athlete Have You ever experienced symptoms? *Yes.No.Did you report them? *Yes.No.2nd Athlete Signature * Clear Signature 3rd Athlete Parent and Athlete Concussion Agreement *I have read the Parent and Athlete Concussion and Head Injury Information3rd Athlete Name *FirstLast3rd Athlete Have You ever had a concussion? *Yes.No.If Yes. How many concussions? *3rd Athlete Have You ever experienced symptoms? *Yes.No.Did you report them? *Yes.No.3rd Athlete Signature * Clear Signature PreviousNextAMATEUR ATHLETIC WAIVER AND RELEASE OF LIABILITYRELEASE OF LIABILITY -READ BEFORE SIGNING!In consideration of being allowed to participate in any way as a member of any team of Farmington Baseball UA, its related events and activities, I (name of participant, player) the undersigned, acknowledge, appreciate, and agree that: 1. The risk of injury and illness resulting from the activities involved in this program is significant, including the exposure to, or potential for infections, including but not limited to influenza, COVID-19, MRSA, as well as permanent paralysis and death, and while particular skills, equipment, and personal discipline may reduce this risk, the risk of serious injury and illness does exist; and, 2. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume full responsibility for my participation; and, 3. I willingly agree to comply with the stated and customary terms and conditions for participation. If, however, I’m aware of or observe any unusual significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of my team’s field manager and Farmington Baseball UA immediately; and, 4. I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE, INDEMNIFY, AND HOLD HARMLESS Farmington Baseball UA, their officers, officials, general managers, field managers, agents and/or employees, other participants, sponsoring agencies, sponsors, advertisers, and, if applicable, owners and lessors of premises used for the activity (“Releasees”), WITH RESPECT TO ANY AND ALL ILLNESS, INFECTIOUS DISEASE, INJURY, DISABILITY, DEATH, or loss or damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, to the fullest extent permitted by law.I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.Parents and Guardians of Player(s) Under 18FOR PARENTS/GUARDIANS OF PARTICIPANTS OF MINORITY AGE (UNDER AGE 18 AT TIME OF REGISTRATION) This is to certify that I, as parent/guardian with legal responsibility for this participant, do consent and agree to his/her release as provided above of all the Releasees, and, for myself, my heirs, assigns, and next of kin, I release and agree to indemnify and hold harmless the Releasees from any and all liabilities incident to my minor child's involvement or participation in these programs as provided above, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES, to the fullest extent permitted by lawParent and Athlete Amateur Athletic Waiver and Release of Liability *I have read the Parent and Athlete Amateur Athletic Waiver and Release of LiabilityParent Name or Guardian Name of Player{s) under 18 or Player Name (over 18) *FirstLastParent Name or Guardian Name of Player{s) under 18 or Player Name (over 18) Signature * Clear Signature Is your Player under 18? (at the time of registration) *Yes.No.Player's Name (under 18) *FirstLastDo you have have a 2nd player? *Yes.No.2nd Player's Name (under 18) *FirstLastDo you have a 3rd Player? *Yes.No.3rd Player's Name (under 18) *FirstLastPreviousNextREVIEW AND SUBMIT AND PAY. ALMOST DONE! You have the opportunity to review all of your entries and go back and make any changes. Once your registration is submitted and payment received. You will receive emails from the flames keeping you informed on the upcoming season. You will receive an email from your coach or coaches once teams are formed. Any question fee free to use the contact form and some will get back to you as soon as possible. Thank you for choosing the Farmington Flames! Do you have a special request or comment? *Yes.No.Enter Request or Comment Below. Visual Text Updating preview…This is a preview of your submission. It has not been submitted yet! Please take a moment to verify your information. You can also go back to make changes.Total Registration Fee$0.00Square *CardName on CardPreviousSubmit Registration and Pay