2012 South Atlantic Border Battle Player Application

Please PRINT the following form neatly, Make check payable to South Atlantic Border Battle, then mail to:

Diamond Prospects – PO Box 1262 – Conway, SC 29528 

Stay tuned to SOUTHATLANTICBORDERBATTLE.COM and DP leading up to the event for last second announcements…

Name ____________________________________ High School ____________________ Grad Year ________________

Address ___________________________________ City __________________________ State ______ Zip _________

Home # _______________________ Cell # ______________________ Email _________________________________

DOB __________________ Fall/Summer team __________________________________________________________

Committed _________________1st position ____ 2nd position ____ HT _______ WT _______ Bats ___ Throws___ Waist size_____ Shirt size _____

GPA _________________ SAT (total, math, verbal) __________/__________/__________ ACT _________________

Medical Waiver: I waive and release The Burlington Royals, and Burlington Stadium its staff, my coaches and/or officials from any injury that may occur during the camp to the above-mentioned player, on site or involving travel to and from the event. I also take responsibility for any expenses that incur during the events due to necessary treatment of injury. I also give permission for emergency treatment if needed. I understand by signing this waiver, I give consent to participation in the event and assume all risk arising from it.

Parent/Guardian Signature: _________________________________ Date ______________

**Registration Deadline: Saturday, October 6

Cost is $50.00, Make check payable to: SOUTH ATLANTIC BORDER BATTLE