DIXE YOUTH BASEBALL – Please circle the correct age group.

Spring 2014
Registration Form
Please mail form to:
Shreveport Dixie Baseball
PO Box 18684
Shreveport, LA 71138
Registration Fee:
Wee Ball 3-4 - $70
T-Ball 5-6 - $90
7-14 - $110
Fees to be paid to Team Coach after drafted to
a team.
DIXE YOUTH BASEBALL – Please circle the correct age group.
AGES: 3 & 4 Wee Ball
5 & 6 T-Ball
7 & 8 Machine Pitch
7 & 8 Coach Pitch
9 & 10
11 & 12
13 & 14
PLEASE NOTE: A child’s age for the spring season is that age attained on or before April 30, 2014.
Name Player Goes By
Date of Birth
Age on 4/30/2014
Zip Code
Home Phone
Work Phone
Team / League Played On In Spring 2013
Parent(s)/ Guardian(s) Names
I/We, the parents or guardian of the above named candidate for a position on a league team, hereby give my/our approval to
participate in any and all league activities. I/We assume all risk and hazards incidental to such participation, including transportation
to and from the activities; and I/We do hereby waive, release, absolve, indemnify and agree to hold harmless the local league, the
chartering organization, the organizers, sponsors, participants, and persons transporting my/our child to and from activities; for any
claim arising out of an injury to my/our child, whether the result of negligence or for any other cause, except to the extent and in the
amount covered by accident and liability insurance, I/We understand that the insurance carried by this league covers only the amount
that is not paid by my/our carrier.
Parent(s)/ Guardian(s) Signature(s)X
Participation Fee Paid
Birth Certificate
PO Box 18684
Shreveport, LA. 71138
or Hand Deliver to:
8809 Jewella Avenue
Shreveport, LA 71108
!!!!! Signatures Required on the back !!!!!
Shreveport Dixie Baseball
Code of Ethics Pledge
Dixie Baseball Official Rules and Regulations
It is the policy of Dixie Baseball to promote the development of strong character, a right attitude, a sense of responsibility, and
citizenship in youngsters, using the game of baseball as a vehicle. It is the purpose of Shreveport Dixie Baseball, Inc. to achieve this
goal, through fair play, good sportsmanship, and congenial fellowship, with adult leaders providing the example. It is strictly against
the policy of Dixie Baseball for any person, either as a participant or a spectator, to engage in arguments, to use abusive language, to
harass umpires, or to exhibit any behavior not in concert with the general intention of this policy statement.
1) Child abuse, whether it is physical, verbal, or mental will not be tolerated. Shreveport Dixie Baseball, Inc. has
implemented a Simplified Child Abuse/ Molestation Risk Management Program. This program includes criminal
background checks on the primary volunteers that will or could have contact with your child during his or her
participation. An important part of this program is an education program for the entire Shreveport Dixie Baseball
community (coaches, umpires, parents/guardians, volunteers, and of course, players). A copy of the Parents Guide to
Child Abuse/ Molestation Risk Management Program is available on our WEB site at
2) Personal problems must be left outside the gate
3) Problems involving a game, official, coach, or team must be handled in a reasonable manner as described in the Dixie
4) Harassment of umpires is strictly prohibited.
5) Excessive or destructive behavior will not be permitted. Any acts that might endanger the well being of persons or
damage to property will not be tolerated. This includes swinging bats in undesignated areas, climbing fences, riding
bikes, etc.
6) Profanity is prohibited.
7) Guns, knives, fireworks, or any other item that might endanger or pose a threat are not permitted within the park. Law
Enforcement Officers will be excluded from this rule when it is in compliance with regulations of their profession.
8) Any confrontation or disruption will be dealt with immediately and all parties involved will be ejected from the park.
Violators may be permanently ejected from our park. These are serious offences and may result in serious consequences
including arrest if it is warranted.
9) Alcohol and tobacco products are prohibited.
10) Pets are not allowed in the park. An animal, such as a seeing-eye dog is exempt from this rule when assisting its
appropriate owner and equipped with its proper restraints of its duty.
All officials, coaches, parents, and other adults are required to abide by the rules and policies of Shreveport Dixie Baseball, Inc.
Every person entering our ballpark plays a role in the success of the Shreveport Dixie Baseball program. The purpose of this code of
ethics pledge is to make a commitment to place the needs of children first in the Shreveport Dixie Baseball program. This pledge is a
reminder of that commitment.
I pledge to uphold the rules and regulations of Dixie Baseball and Shreveport Dixie Baseball, Inc. I understand that my words and
actions influence the children within this park and commit myself to give positive support, care and encouragement to them. This
pledge is my commitment to place the needs of children first at Shreveport Dixie Baseball. I pledge to make sure my relatives and
friends that visit the park abide by these same rules. I understand that violations will be dealt with as outlined above.
Parent / Guardian Signature #1
Parent / Guardian Signature #2
Print Name
Print Name
Phone Number:
E-mail address:
Phone Number:
E-mail address:
Date Signed:
Date Signed: