Player First Name *
Player Last Name *
Facility * Broomall Cherry Hill Conshohocken Downingtown Warminster West Chester
Parent's Name *
Parent's Email *
Parent's Phone Number *
Address Line 1 *
Address Line 2
City *
State * AK AL AB AR AZ BC CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MB MD ME MI MN MO MS MT NC ND NE NB NL NH NJ NM NT NS NU NV NY OH OK ON OR PA PE PR QC RI SK SC SD TN TX UT VA VT WA WI WV WY YT
Zip *
Rental Group * .Individual - No Rental Group AMP Ultimate Frisbee Archbishop Wood High School Baseball Berwyn Paoli Little League Bethel Blast Softball Bishop Shanahan High School Blue Thunder 16U Softball Bonner Prendie High School CASA Soccer Centennial 8U & 9U Cherry Hill American Softball / Baseball Cherry Hill Atlantic (Sharks) Cherry Hill National Softball Cherry Hill West Softball 18U Chester County Bobcats 10u Chester County Bobcats 11U Chester County Bobcats 9U Chester County Stars Chester Valley Little League Collingswood Little League Conshohocken Little League Council Rock Northampton DAA Delco Diamonds Diamond Kings Downingtown Bandits (Difonzo) Downingtown East High School Baseball Downingtown Legion Downingtown West High School Baseball East Brandywine Impact 12U East Brandywine Impact 14U East Brandywine Impact 16u East Side Little League (Chylack) East Side Little League (Timko) Exton Bandits 14U Exton Little League Baseball / Softball Falcons Baseball 2.0 Legacy Frank Rafferty Softball GEYA Little League Great Valley High School Haddonfield 11U Haddonfield 12U Hatboro 11U & 12U Hatboro-Horsham HS Baseball Haverford Township Hawks Softball - Adams Heavy Hitters Softball Hilltop 11u (Bausman) Hilltop Softball Tassoni Holland Baseball 11U Holland Baseball 8U Hornets Baseball 15U Horsham Township 9U HVLL Johnny B's Softball Lenape Valley Baseball LMLL 10U LYA Hillcats 10U / 11U LYA Little League Maple Shade Baseball Marlton Thunder Softball 10U Mayhem Adult League Baseball Moorestown 8U Moorestown 9U Mount Laurel 10U Mount Laurel 12U (Wheeler) Mount Laurel Softball MSBL Nationals Naamans (Hudson) Naamans Bandits (Gioe) Newtown Rock 12U Newtown Square Rebels 13U Next Level Prospects Northampton Hawks 10U Palmer Pitching Pegasus 14U Softball Pegasus Fastpitch 18U Penncrest Baseball Penn Jersey Dodgers Adult Philadelphia Area Disc Alliance Plymouth 11U Generals Plymouth Generals 9u Radnor Rebels 11U Radnor Rebels 13u (Record) Radnor Rebels 8U Radnor Rebels 9U Rebels 16U Softball Revolution Softball Rock Gold Sacred Heart 12u Sacred Heart 9U St. Philip and James Stallions Cricket Club Stars National Fast Pitch Stratford Baseball Surburban 12U SWAT Softball 10u SWAT Softball 11u SWAT Softball 12U SWAT Softball 18U Team X-Treme Tracy Fauntleroy Upper Darby High School Upper Dublin 8u Warrington Warwick Bulldogs Warwick Rivel WC Mustangs WC Revolution 10u (Durkin) West Chester Colonials West Chester East High School West Chester Rustin High School West Chester University - Head SB Coach West Chester Warriors West Side Little League Whiz Kids
Player's Birthdate *
Sport * Baseball Softball Other
Little League Abbington Alloway Ambler Aston Middletown Aston Valley Audobon Avon Grove Barrington Bensalem Berwyn Paoli Blackwood Brandywine Briarcliffe Athletic Bridgeport Brookhaven Brookline Burlington Bustleton BYC Caln Camden Centennial Cheltenham Cherry Hill American Cherry Hill Atlantic Cherry Hill National Chester Valley Chichester CH National SB CHYAA Cinnaminson Collingswood Conshohocken Council Rock / Newtown Council Rock Holland Coventry Deep Run Delanco YSA Delran Devon Stratford Downingtown Doylestown Drexel Hill East Side EBYA Erial Exton Flourtown GEYA Glenolden Glenside Gloucester City Great Valley GVAA Haddonfield Haddon Township Hamilton Harleysville Hatboro Haverford Hill Top Horsham Huntington Valley Interboro KAU Kimberton Lanarch Hills Langhorne Lenape Valley Levittown Logan Township Lower Gwynedd Lower Merion LYA Mantua Maple Shade Margate Marlton Marple Medford Media Merchantville Middletown Millville Monroe Montgomery Moorestown Morrisville Mt. Laurel Naamans Neshaminy AA Nether Providence Nether Swarthmore Newark Newtown Edgemont Norchester Nor Gwyn North Hampton North Penn Norwood Octorara Oreland Wyndmoor Other (Type League) Oxford Pennridge Pennsbury Perkiomen Piedmont Plumstead Plymouth Prospect Park Quackertown Radnor Radnor Wayne Rancocas Ridley Roslyn Solebury Souderton Southampton South Marple Springfield Stratford Talleyville Taney Twin Valley Upper Dublin Upper Makefield Upper Merion Upper Moreland Upper Providence URA Valley LL Warminster Warrington Warwick Washington Township West Bradford West Deptford West Side Whitpain Wilmington LL Wissahickon If your Little League is not listed, select "Other (Type League)"
School
Primary Position * P C 1B 2B 3B SS LF CF RF OF INF
Secondary Position P C 1B 2B 3B SS LF CF RF OF INF
Bats * Right Left Switch
Throws * Right Left
Player's High School Graduation Year *
Current Team
Head Coach's Name *
2021 - 2022 Wavier of Liability * Agree I hereby waive and release the All-Star Baseball Academy, LLC. from any and all liability for any injury or illness incurred throughout the duration of any Arena Baseball & Softball season, facility rental, individual/group lesson, camp or program. I have no knowledge of any physical impairment that would affect my child’s participation in any and all aspects of participation included at the All-Star Baseball Academy, LLC. You expressly agree to release and discharge ASBA and all affiliates, employees, representatives, successors or assigns, from any and all claims or causes of action. This waiver and release of liabilities, without limitation, covers all injuries to you which may occur. Regardless of negligence, as a result of (a) your use of any and all ASBA equipment, products and amenities, (b) the sudden unforeseen malfunctioning of any equipment, (c) our instruction or supervision, and (d) your slipping and/or falling while in ASBA, or on ASBA premises, including adjacent sidewalks and parking areas. You acknowledge that you have carefully read this waiver and release and fully understand that is a release of liability. You agree to voluntarily give up the right that you may otherwise have to bring a legal action against ASBA for negligence, or any other personal injury or property damage of loss action. *
COVID-19 Statement * Agree In regards to the COVID-19 pandemic, All-Star Sports Academy (All-Star) is following all CDC guidelines, and has established preventative measures and policies to reduce the risk of spread of COVID-19. All-Star cannot, however, guarantee that you, your child(ren), will not become exposed to and infected with COVID-19. I acknowledge and agree to follow all COVID protocols enforced when entering an All-Star facility. * Players, Parents, Coaches, and All-Star staff are required to wear a mask upon entering our facilities. Anyone entering a facility is required to have their temperature checked. Anyone that has tested positive for COVID-19 is not permitted in our facilities within 14 days of initial diagnosis. Anyone that is living with or has come in contact with someone who has tested positive for COVID-19 within two weeks of the diagnosis are not permitted in our facilities.
Media Release Statement * Agree I hereby grant permission to All-Star Sports Academy, its agents and assigns, to use my child's photo or video, and likeness for the purpose of promotion by All-Star Sports Academy for all forms, media and manners, for the following, but not limited to, news releases, photographs, video, audio, website, marketing, advertising, trade, promotion, exhibition for an indefinite period of time. I give unrestricted permission for images, videos, and recordings of the child to be used in print, video, digital and internet media. I agree that these images and/or voice recordings may be used for a variety of purposes and that these images may be used without further notifying me. I further acknowledge that I will not be compensated for these uses and All-Star Sports Academy owns all rights to the images, videos, and recordings, and to any derivative works created from them. I waive any right to inspect the uses of any printed or electronic copy. I hereby release All-Star Sports Academy and its agents and assigns from any claims that may arise from these uses, including without limitation claims of defamation or invasion of privacy, or of infringement of moral rights or rights of publicity or copyright. This Release expresses the complete understanding of the parties.
Player's Electronic Signature * Please type full name.
Date of Player's Electronic Signature *
Parent's Electronic Signature * Please type full name.
Date of Parent's Electronic Signature *
Comments