Transcription of Tournament Team Roster BASEBALL - Dizzy Dean
1 1)2)123456789101112131415161718 Phone:Phone:Phone:Phone:this team has qualified to participate in the Dizzy Dean World Series in this age :Notary (Signed):My Commission Expires:BASEBALLI hereby certify that the dates of birth of the players above are correct and have been substantiated by birth certificates examined by Director sign here:SWORN BY ME (Manager/Head Coach):Date:League President/Officer:COACH:COACH:COACH:City :State:Zip:Email:Address:Email:Address:C ity:State:Zip:City:State:Zip:Email:Addre ss:City:State:Zip:Email:Address:MANAGER: PLAYER'S NAME:LEAGUE team :STREET ADDRESS:CITY:STATE:ZIP:D. O. B.:Check Appropriate Age Division:567891011 Date:City:State:Zip: team Name:All teams travelling to a Tournament shall be required to present proof of the following types of insurance:Excess accident insurance that has a maximum medical limit of at least $50, liability insuranceon anoccurrence form (not claims made) that has a per occurrence limitof atleast$1,000, combined single limits and that does not exclude "participant liability".
2 If the endorsed DizzyDean league insurance policy (see rule book advertisement)is not carriedby such team , their general liabilitypolicy must name Dizzy Dean BASEBALL , an"additional insured".We agreeto comply with all rules and regulations outlined in the official Dizzy Dean rule ONE copyto State Director OneWeek Prior to First MUST TAKE THIS ROSTERANDALLBIRTH CERTIFICATESTO EACHTOURNAMENT FOR CREDENTIALS team Roster121314151617-19 DoubleName of League: Dizzy DEAN BASEBALL :PLAYERPITCH COUNTTEAM:LEVELDISTRICT / STATE / WORLD SERIESSIGNEDBY:PITCHERS NAMENUMBERDATEOPONENTPITCHESREST Y/NELIGIBLE ON (DATE) MGRD izzy Dean BASEBALL RecordPitch Count and Required Rest LimitationsOPPONENT
