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Baseballparkrec2026-02-02T13:13:24-05:00

Baseball

Northwest Connecticut Steve Blass Little League

http://leagues.bluesombrero.com/nwctsbll

Questions? Contact Adam Karcheski at nwctll.pres@gmail.com or adamkarcheski@gmail.com

TBall and Baseball Skills & Drills

Email address for baseball information *

Child's Name *

Grade (Please note grade is defined as the 2025-2026 school year.)

Kindergarten

First Grade

Second Grade

Third Grade

Fourth Grade

Fifth Grade

Date of Birth *

Age *

Please indicate the program your child will be attending. *

Kindergarten TBall

1st - 3rd Grade Baseball Skills & Drills

4th - 5th Grade Baseball Skills & Drills

Cornwall Park and Recreation Activity Form

*Please fill out one for each child.*

Allergies or disabilities that supervisor should be aware of

Parent/Guardian Name *

Address *

Best Contact Phone Number *

Email Address *

2nd Parent/Guardian Name

Address

Best Contact Phone Number

Email Address

In case of an emergency and you cannot be reached, please provide another person for emergency contact:

Emergency Contact Name *

Relationship *

Emergency Contact Phone number *

PHOTO RELEASE I give permission to have my child’s picture appear on the Cornwall Park and Recreation website and Facebook page while engaged in Park and Recreation activities. *

Yes

Signature *

RELEASE AND EMERGENCY MEDICAL AUTHORIZATION

The undersigned, for themselves and/or their children as hereinafter named, hereby releases and discharges the Town of Cornwall, its officers, commissioners, commissions, employees, and agents from any and all liability for any loss or damage to property of or bodily injury or death to the undersigned arising from or related to the undersigned’s participation in the town-sponsored activity hereinafter specified; and
The undersigned does hereby further knowingly, intentionally, freely and expressly:

assume the risk for any loss, damage, bodily injury or death arising from, related to, or occurring during the undersigned’s participation in the town-sponsored activity hereinafter specified; and
releases the Town of Cornwall and its officers, commissioners, commissions, employees and agents from any and all liability for any such loss, damage, bodily injury or death to the undersigned; and
waives any claim or cause of action which the undersigned may have against said Town or its officers, commissioners, commissions, employees and agents for any such loss, damage, bodily injury or death.

If the undersigned cannot be reached, the undersigned does hereby give permission to the physician selected by the Recreation Department of the Town of Cornwall or program supervisor to hospitalize, secure proper medical treatment for, and/or to order injection, anesthesia, or surgery for myself and/or my child as participants in the town-sponsored activity hereinafter set forth.

Parent/Guardian Signature *

Date *

Thank you for registering. Please check your email/spam folder for a confirmation email.

There was an error trying to send your registration. Please try again later.

Bethaney Mastrocola, Director

860.672.4071 (office)

860.419.5337 (talk or text)

park.recreation@cornwallct.gov

Office Location:

26 Pine Street, Cornwall, CT 06753

Mailing Address:

P.O. Box 97, Cornwall, CT 06753