Parent Name (required)

Parent Email (required)

Parent Telephone (required)

Which league are you signing up for?
Mites: Ages 9-10Cal Ripken: Ages 11-12Prep: Age 13Babe Ruth: Ages 14-15Senior Babe Ruth: Ages 16-18

Player Name

Player Date of Birth (required)

Age as of 4/30/2018 (required)

Cell phone # if over 16

Parent Name 2

Parent Telephone 2

Parent Email 2

Any parents that did not opt out from concessions (and pay the opt out fee) must help with concessions. Mark below if you will be helping with concessions.
YesNo

Each player will be responsible to purchase their own grey baseball pants, maroon socks and belt. Hat and jersey will be provided by Cross Plains Baseball.
Fees:

Mites (Ages 9-10) $80.00
Cal Ripken (Ages 11-12) $95.00
Prep (Age 13) $105.00
Babe Ruth (Ages 14-15) $105.00
Senior Babe Ruth (Ages 16-18) $125.00
I agree to hold harmless all coaches, St. Francis Xavier Parish, and the village of Cross Plains in the event of any injury sustained during a game or practice

Check box if you accept:

Code of Conduct - Players

GENERAL

Cross Plains Babe Ruth expects that all participants will maintain a high standard of conduct at all times and will enforce the standard firmly and fairly.

STANDARD OF CONDUCT

1. Be a good sport whether you win or lose. Show a positive attitude toward your teammates, coaches, game officials, and spectators watching the game.
2. Respect the people you play against. After all, without them, you would have no one else to play. In other works, “If you can’t say anything nice don’t say anything at all!”
3. Follow the rules. Your team, the league, and baseball in general all have rules for practices and games. Practices and games are more fun and safe within rules.
4. Be there for your team! Players are expected to be at all team activities and to arrive on time with proper equipment and prepared to play. Players are expected to be at all team activities even if they are unable to actively participate. Whenever a player is unable to attend team activity the player is expected to let the coach and team manager know in advance in writing or via telephone or text. Unexcused absences may cause a loss of playing time.
5. Players play in games at the sole direction of the coach. Despite any other assurances, players are not guaranteed playing time, unless specified by league rules. Players play at positions assigned at the sole discretion of the coach. Players should not demand to play or not to play in certain positions. You must remember that you are playing competitive baseball and the coach will play you where it is best for the team and your individual development. Because the program goals which include improvement on each participant’s baseball skills and knowledge, coaches can, when appropriate, use game and practice situations to teach positions to players.

I agree to abide by the Player Code of Conduct at all times.

Code of Conduct - Players and Parents

All players and coaches will be dressed and ready to take the field at the time assigned to them.
(People will be late at times, if you anticipate being late for any reason please call to let the
coach know). Excessive lateness will be dealt within a reasonable matter.
All players should be fully dressed while approaching the field. No earrings, bracelets, or any
kind of jewelry will be allowed.
Dugout: Food, Cell Phones, I‐Pod, and other items deemed a distraction are not allowed
around or in the dugout. Equipment will not be thrown, broken, or punched (if a player breaks
team equipment they will have to pay for the item). Inappropriate language will not be
tolerated in the dugout or on the field at any time before, during or after the game. Family and
Friends are not allowed to engage in long conversations with any player or coach before or
during the game. NO EXCEPTIONS.
If a player, friend, or family member has a comment, gesture, or physically does something that
is deemed inappropriate to a fellow player, coach, opposing player, opposing coach, or umpire...
the player and family will be asked to leave the field complex, immediately. If a player and or
family member is insubordinate after being asked to leave they will be removed from the team
and organization.
Players will be the only person that the coach will address if a player has a problem with a
decision concerning a player on the field.
Off Field: Any action that occurs off the field that is deemed inexcusable and compormises the
image of Cross Plains Baseball Organization while a player may result in removal of the player
from the organization.
I agree to abide by the Player and Parents Code of Conduct at all times.

Concussion Information - When in Doubt, Sit Them Out!

1. Before a student may participate in practice or competition: At the beginning of a season for a youth athletic activity, the person operating the youth athletic activity shall distribute a
concussion and head injury information sheet to each person who will be coaching that youth
athletic activity and to each person who wishes to participate in that youth athletic activity. No
person may participate in a youth athletic activity unless the person returns the information
sheet signed by the person and, if he or she is under the age of 19, by his or her parent or
guardian
2. An athletic coach, or official involved in a youth athletic activity, or health care provider shall
remove a person from the youth athletic activity if the coach, official, or health care provider
determines that the person exhibits signs, symptoms, or behavior consistent with a concussion
or head injury or the coach, official, or health care provider suspects the person has sustained
a concussion or head injury.
3. A person who has been removed from a youth athletic activity may not participate in a youth
athletic activity until he or she is evaluated by a health care provider and receives a written
clearance to participate in the activity from the health care provider.

These are some SIGNS concussion (what
others can see in an injured athlete):

Dazed or stunned appearance
Change in the level of consciousness or
awareness
Confused about assignment
Forgets plays
Unsure of score, game, opponent
Clumsy
Answers more slowly than usual
Shows behavior changes
Loss of consciousness
Asks repetitive questions or memory concerns

These are some of the more common
SYMPTOMS of concussion (what an injured
athlete feels):

Headache
Nausea
Dizzy or unsteady
Sensitive to light or noise
Feeling mentally foggy
Problems with concentration and memory
Confused
Slow

Injured athletes can exhibit many or just a few of the signs and/or symptoms of concussion. However,
if a player exhibits any signs or symptoms of concussion, the responsibility is simple: remove them
from participation. “When in doubt sit them out.”
It is important to notify a parent or guardian when an athlete is thought to have a concussion. Any
athlete with a concussion must be seen by an appropriate health care provider before returning to
practice (including weight lifting) or competition.

RETURN TO PLAY

Current recommendations are for a stepwise return to play program. In order to resume activity, the
athlete must be symptom free and off any pain control or headache medications. The athlete should
be carrying a full academic load without any significant accommodations. Finally, the athlete must
have clearance from an appropriate health care provider.
The program described below is a guideline for returning concussed athletes when they are symptom
free. Athletes with multiple concussions and athletes with prolonged symptoms often require a very
different return to activity program and should be managed by a physician that has experience in
treating concussion.
The following program allows for one step per 24 hours. The program allows for a gradual increase in
heart rate/physical exertion, coordination, and then allows contact. If symptoms return, the athlete
should stop activity and notify their healthcare provider before progressing to the next level.
STEP ONE: About 15 minutes of light exercise: stationary biking or jogging
STEP TWO: More strenuous running and sprinting in the gym or field without equipment
STEP THREE: Begin non-contact drills in full uniform. May also resume weight lifting
STEP FOUR: Full practice with contact
STEP FIVE: Full game clearance

118.293 Concussion and head injury.

(1) In this section:
(a) "Credential" means a license or certificate of certification issued by this state.
(b) "Health care provider" means a person to whom all of the following apply:
1. He or she holds a credential that authorizes the person to provide health care.
2. He or she is trained and has experience in evaluating and managing pediatric concussions and head
injuries.
3. He or she is practicing within the scope of his or her credential.
(c) "Youth athletic activity" means an organized athletic activity in which the participants, a majority
of whom are under 19 years of age, are engaged in an athletic game or competition against another
team, club, or entity, or in practice or preparation for an organized athletic game or competition
against another team, club, or entity. "Youth athletic activity" does not include a college or university
activity or an activity that is incidental to a nonathletic program.
(2) In consultation with the Wisconsin Interscholastic Athletic Association, the department shall
develop guidelines and other information for the purpose of educating athletic coaches and pupil
athletes and their parents or guardians about the nature and risk of concussion and head injury in
youth athletic activities.
(3) At the beginning of a season for a youth athletic activity, the person operating the youth athletic
activity shall distribute a concussion and head injury information sheet to each person who will be
coaching that youth athletic activity and to each person who wishes to participate in that youth
athletic activity. No person may participate in a youth athletic activity unless the person returns the
information sheet signed by the person and, if he or she is under the age of 19, by his or her parent or
guardian.
(4) (a) An athletic coach, or official involved in a youth athletic activity, or health care provider shall
remove a person from the youth athletic activity if the coach, official, or health care provider
determines that the person exhibits signs, symptoms, or behavior consistent with a concussion or
head injury or the coach, official, or health care provider suspects the person has sustained a
concussion or head injury.
(b) A person who has been removed from a youth athletic activity under par. (a) may not participate
in a youth athletic activity until he or she is evaluated by a health care provider and receives a written
clearance to participate in the activity from the health care provider.
(5) (a) Any athletic coach, official involved in an athletic activity, or volunteer who fails to remove a
person from a youth athletic activity under sub. (4) (a) is immune from civil liability for any injury
resulting from that omission unless it constitutes gross negligence or willful or wanton misconduct.
(b) Any volunteer who authorizes a person to participate in a youth athletic activity under sub. (4) (b)
is immune from civil liability for any injury resulting from that act unless the act constitutes gross
negligence or willful or wanton misconduct.
(6) This section does not create any liability for, or a cause of action against, any person.

I have read and understand the above concussion information.

PARENT & ATHLETE AGREEMENT

As a Parent and as an Athlete it is important to recognize the signs, symptoms, and behaviors of concussions. By signing this form you are stating that you understand the importance of recognizing and responding to the signs, symptoms, and behaviors of a concussion or head injury.
Parent Agreement
I have read the Parent Concussion and Head Injury Information and understand what a concussion is and how it may be caused. I also understand the common signs, symptoms, and behaviors. I agree that my child must be removed from practice/play if a concussion is suspected.

I understand that it is my responsibility to seek medical treatment if a suspected concussion is reported to me.

I understand that my child cannot return to practice/play until providing written clearance from an appropriate health care provider to his/her coach.

I understand the possible consequences of my child returning to practice/play too soon.

Athlete Agreement

I have read the Athlete Concussion and Head Injury Information and understand what a concussion is and how it may be caused.

I understand the importance of reporting a suspected concussion to my coaches and my parents/guardian.

I understand that I must be removed from practice/play if a concussion is suspected. I understand that I must provide written clearance from an appropriate health care provider to my coach before returning to practice/play.

I understand the possible consequence of returning to practice/play too soon and that my brain needs time to heal.

Have you ever had a concussion? YesNo

If yes, how many?

Please download, print, and sign the Concussion Form below.

Please upload your completed Concussion Form. If you are having trouble finding the form, please check in your download folder on your computer. The file name will be concussionacknowledgement.docx"

After sending your form, please choose your league below and pay online or make a check payable to:
Cross Plains Baseball c/o Jim Nonn 7813 County Road K, Cross Plains, WI 53528
or Cross Plains Baseball c/o Stan Nonn 2410 Martin Street, Cross Plains, WI 53528.