Fall 2023 Youth Player AcceptanceDISCOUNTED Payment Pay the DISCOUNTED (half price) fall 2023 season payment of $750. Player Name(Required) First Last Player Age Group(Required)Please select your child’s age group10U11U12U13U14UParent 1 Name(Required) First Last Parent 1 Email(Required) Parent 1 Phone(Required)Parent 2 Name First Last Parent 2 Email Parent 2 PhonePlayer Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Player Birth Date(Required) MM slash DD slash YYYY Graduation Year(Required)Bats(Required)RightLeftBothThrows(Required)RightLeftPrimary Position(Required)RHPLHPCatcher1B2BSS3BOFSecondary PositionRHPLHPCatcher1B2BSS3BOFUniform Number - First Choice (NEW PLAYERS ONLY)Please enter a number from 00 to 99.Please indicate your first choice for a uniform number (00 to 99). We cannot promise you will get your first choice but we will do our best to get you the number you want.Uniform Number - Second Choice - (NEW PLAYERS ONLY)Please enter a number from 00 to 99.Please indicate your second choice for a uniform number (00 to 99). Uniform Number - Third Choice - (NEW PLAYERS ONLY)Please enter a number from 00 to 99.Please indicate your third choice for a uniform number (00 to 99). Acceptance(Required) I accept the invitation to play with Action Baseball in the Fall 2023 SeasonBy submitting this form and my non-refundable downpayment, I understand that I am committing to play with Action Baseball Club in the Fall 2023 Season.Agreement(Required) I agree that I have read and agree to the Action Baseball Club policiesI have read and agree to the following policies which can be found on the Policies page at https://actionbaseballclub.org/policies/. PLEASE NOTE ALL POLICIES MUST BE READ AND ACCEPTED BEFORE YOUR PLAYER IS ELIGIBLE TO PARTICIPATE IN PRACTICES AND GAMES. Parent Policy Player Policy Fee Policy Tournament PolicyDiscounted Payment for Fall 2023 Season(Required) Price: ***PLEASE CHOOSE A QUANTITY OF 1 BELOW*** Half price discount. Normal fee is $1,500.Quantity(Required)Please choose quantity of 11Please select a quantity of 1Total Credit Card(Required) American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Expiration Date Month Month010203040506070809101112 Year Year20232024202520262027202820292030203120322033203420352036203720382039204020412042 Security Code Cardholder Name Δ
