2024 Challenger Baseball Registration (Dutton Royals)

2024 Challenger Baseball Registration

In 2024, the Dutton Royals are pleased to offer Challenger Baseball for our players. Challenger Baseball is a division that allows children with disabilities the opportunity to enjoy all the benefits of playing baseball! Please complete this form if you wish to register your child for 2024 Challenger Baseball in Dutton. Upon registering, please ensure you have paid your registration fee by sending an e-transfer to [email protected] Your registration fee includes a jersey and hat for your player.

Player Information

Please complete the required details to register your player.

Player's Name:^*

Required

Player's Date of Birth:^*

Required

e.g. March 10, 2016

Players Address:^*

Required

e.g. 123 John Street, Dutton, ON N0L 1J0

Player's Jersey Size^*

Required

Parent/Guardian Information

Please complete the required details about the parent/guardian details for your player.

Parent Guardian #1 Name:^*

Required

Parent/Guardian #1 Phone Number:^*

Required

Example: ###-###-####

Parent Guardian #1 Email Address:^*

Required

Example: [email protected]

Parent Guardian #2 Name:

Parent Guardian #2 Phone Number:

Example: ###-###-####

Parent Guardian #2 Email Address:

Example: [email protected]

Emergency Contact Name:^*

Required

Emergency Contact Phone Number:^*

Required

Example: ###-###-####

Player Medical Information

Please provide as much information as you feel comfortable with regarding your player's medical information. This information will only be used to help ensure bench staff and support staff are equipped to support your player.

Does your player have diagnosed exceptionalities and/or disabilities?^*

Required

Please provide as much information as possible.

Does your player have communication difficulities? ^*

Required

If yes, please provide any tips or information for communication.

Does your player need the use of a wheelchair or powerchair to play?^*

Required

If yes, please provide any tips or information you would like to share.

Does your player have any allergies?^*

Required

Please outline any other health concerns we should know.^*

Required

Has your player particiapted in any sports before?^*

Required

This is not a requirement of the program, we just want to know what level everyone is at to best provide supports. Please provide any information you feel comfortable sharing.

Do you think your player needs a one-on-one buddy support during the program?^*

Required

Please indicate Yes or No, this is just to ensure we have the correct amount of buddies to start the program.

Do you have a preferred buddy already lined up (not a parent).^*

Required

The program recommends, if at all possible, players are paired with a non-parent buddy to achieve ultimate success.

Registration Fees

Please review the information regarding registration fees for the 2024 Challenger Baseball program below. If you are paying by cash/cheque, please email [email protected] to arrange this payment method.

I understand there is a $35 registration fee for 2024 Challenger Baseball, and I will pay by:^*

E-transfer to [email protected]
Cash
Cheque

Required

Volunteering/Buddy System

In order for Challenger Baseball to run effectively and safely, buddies are needed to provide 1:1 support, when necessary for our players.

I am interested in learning more about becoming a buddy. ^*

YesNo

Required

Name:^*

Required

Email Address:^*

Required

Example: [email protected]

2024 Challenger Baseball Registration (Dutton Royals)

Player Information

Parent/Guardian Information

Player Medical Information

Registration Fees

Volunteering/Buddy System

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