Player RegistrationFill out the player registration form below. Player Name * First Name Last Name Date of Birth * MM DD YYYY Gender * Male Female Parent/Guardian Name * First Name Last Name Relationship * Parent/Guardian Name First Name Last Name Relationship Player's Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Home Phone * (###) ### #### Cell Phone * (###) ### #### Parent/Guardian Email Address Parent/Guardian Email Address * Team * 14U - Blake 13U - Price 12U - Flannagan 12U - Lee 11U - Burk 11U - Painter 10U - Fagan 10U - Ritchie 9U - Bollinger 9U - Zeltner 8U - Harper Family Physician Phone (###) ### #### Hospital Preference Patient Insurance Company Policy Number Group ID # In Case of Emergency In case of emergency, if a family physician cannot be reached, I hereby authorize my child to be treated by Certified Emergency Personnel (i.e. EMT, First Responder, ER Physician). Emergency Contact If parent(s)/legal guardians cannot be reached in case of emergency, contact: Emergency Contact Name * First Name Last Name Emergency Contact Phone * (###) ### #### Emergency Contact Relationship to Player * Emergency Contact #2 Name First Name Last Name Emergency Contact #2 Phone (###) ### #### Emergency Contact #2 Relationship to Player Allergies/Additional Medical Info Please list any allergies/medical problems, including those requiring maintenance medication: * Date of last Tetanus Toxoid Booster MM DD YYYY Loudoun Aces Code of Conduct Please read and scroll down to accept the following agreement: * The Loudoun Aces Code of Conduct is strict and serious in our sport. All people associated with the game are always expected to act with sportsmanship, dignity and respect for others. This includes coaches, parents, players and referees. All Managers, Coaches and Players shall promote and maintain good sportsmanship at all times, including at all practices, games and any additional functions. Managers, coaches, Players and Parents shall promote the Mission Statement above and comply with the Central Loudoun Little League Code of Conduct and Disciplinary Guidelines. While acting in the official capacity as CLLL managers and coaches shall attempt to refrain from outwardly promoting the Aces and are prohibited from wearing Aces-branded gear during CLLL events. Those that are found in violation of this Section may face disciplinary action by the Board of Directors of the Corporation. Poor sportsmanship includes: * Arguing with coaches, officials, teammates, opponents or spectators * Using threatening or profane language * Baiting or taunting coaches, officials, teammates, opponents or spectators * Unsafe play * Uncontrolled behavior in the dugout or bleacher area We, parent(s) and player, have discussed the Code of Conduct and agree to abide by it. We understand that there is no refund or recourse for dismissal from our program as a consequence of breaking this Code of Conduct. Thank you for submitting the Loudoun Aces player registration form. This serves as confirmation of your player’s registration with the organization.If you have any questions, please email: aces@loudounacesbaseball.com.Go Aces! We respect your privacy. Privacy Policy.
