| Babe Ruth League, Inc. ® | ||||||||||||
| Our League,………………………………………………………………………………………………………………………....... (Name of League) Located in the County of …………………………………………………………………… desires to apply for membership in Babe Ruth Baseball in one of the three following divisions and will be comprised of the following: (All teams in the league must register on one form and through the league in which they will actually be playing.) | ||||||||||||
| We, The duly constituted and authorized officers of the above named league agree that in consideration of the granting of a franchise, we shall abide by the Rules and Regulations of Babe Ruth Baseball. | ||||||||||||
| It is Understood and agreed that the franchise applied for will, if granted, be permanent, subject, however to payment of annual membership dues and full compliance with the terms and conditions set forth in the franchise. | ||||||||||||
| League Name: | League ID #: | |||||||||||
| Cal Ripken Division | Accident - Insurance | General Liability Insurance | ||||||||||
| Division: | Previous Season Teams | Current Season Teams | Per Team Rate | Charter Fee (Team X Rate) | Accident - Insurance Rate | Accident Insurance Fee ( Teams X Rate) | 1,000,000.00 | Liability Insurance Fee (Teams X Rate) | 2,000,00.00 | Liability Insurance Fee (Team X Rate) | ||
| Major 70 Teams | $18.00 | $44.00 | $50.00 | $74.00 | ||||||||
| Major 60 teams | $18.00 | $44.00 | $50.00 | $74.00 | ||||||||
| Minor teams | $13.00 | $35.00 | $21.00 | $31.00 | ||||||||
| Rookie teams | $13.00 | $35.00 | $21.00 | $31.00 | ||||||||
| T-ball teams | $13.00 | $35.00 | $21.00 | $31.00 | ||||||||
| Bambino Buddy Ball | $13.00 | $35.00 | $21.00 | $31.00 | ||||||||
| Total Cal Ripken Charter Fee: A | Total Cal Ripken Insurance Fee: B | General Liability Insurance Total Costs: C | General Liability Insurance Total Costs: D | |||||||||
| Babe Ruth Baseball | Accident - Insurance | General Liability Insurance Costs: | ||||||||||
| Division: | Previous Season Teams | Current Season Teams | Per Team Rate | Charter Fee (Team X Rate) | Accident - Insurance Rate | Accident Insurance Fee (Teams X Rate) | 1,000,000.00 | Liability Insurance Fee (Teams X Rate) | 2,000,00.00 | Liability Insurance Fee (Team X Rate) | ||
| 13-15 Teams | $18.00 | $124.00 | $56.00 | $74.00 | ||||||||
| 13 y/o Prep Teams | $18.00 | $72.00 | $56.00 | $74.00 | ||||||||
| 16-18 Teams | $23.00 | $214.00 | $56.00 | $74.00 | ||||||||
| 16 y/o Prep Teams | $23.00 | $214.00 | $56.00 | $74.00 | ||||||||
| Total Babe Ruth Charter Fee: E | $0.00 | Total Babe Ruth Insurance Fee: F | General Liability Insurance Total Costs: G | General Liability Insurance Total Costs: H | ||||||||
| Babe Ruth Softball | Accident - Insurance | General Liability Insurance Costs: | ||||||||||
| Divisions: 12 & U, 16 & U, 18 & U | Previous Season Teams | Current Season Teams | Per Team Rate | Charter Fee (Team X Rate) | Accident - Insurance Rate | Accident Insurance Fee (Team X Rate) | 1,000,000.00 | Liability Insurance Fee (Teams X Rate) | 2,000,00.00 | Liability Insurance Fee (Team X Rate) | ||
| 6 & Under Teams | $13.00 | $35.00 | $21.00 | $31.00 | ||||||||
| 8 & Under Teams | $13.00 | $35.00 | $21.00 | $31.00 | ||||||||
| 10 & Under Teams | $18.00 | $35.00 | $21.00 | $31.00 | ||||||||
| 12 & Under Teams | $18.00 | $35.00 | $21.00 | $31.00 | ||||||||
| 14 & Under Teams | $18.00 | $104.00 | $56.00 | $74.00 | ||||||||
| 16 & Under Teams | $18.00 | $104.00 | $56.00 | $74.00 | ||||||||
| 18 & Under Teams | $18.00 | $131.00 | $56.00 | $74.00 | ||||||||
| Total Babe Ruth Softball Charter Fee: I | Total Babe Ruth Softball Insurance Fee: J | General Liability Insurance Total Costs: K | General Liability Insurance Total Costs: L | |||||||||
| A: | $0.00 | D/O's Insurance $500: N | ||||||||||
| B: | $0.00 | |||||||||||
| C: | $0.00 | If yes enter 1: | ||||||||||
| D: | $0.00 | 1. Coverage for Accident and Liability will begin the date the enrollment form and check are mailed (as shown on the postmark) to Babe Ruth League, Inc., subject to approval by K&K Insurance Group, Inc. However, no coverage will be provided before 2/1/2007, and coverage will end on 2/1/2008 for the Accident and Liability coverage. Coverage is provided by: Companies rated "A" by A.M. Best Company (Accident-SPP-16620-00) (Liability -MAC-5661707-02) | ||||||||||
| E: | $0.00 | |||||||||||
| F: | $0.00 | |||||||||||
| G: | $0.00 | 2. The Premium charged is the minimum that will be charged for the term of the coverage period. | ||||||||||
| H: | $0.00 | 3. THE NAME INSURED HEREBY WARRANTS THAT LIABILITY COVERAGE IS NOT IN FORCE UNLESS THE LEAGUE HAS PURCHASED BABE RUTH LEAGUE'S APPROVED GROUP ACCIDENT INSURANCE OR AN EQUIVALENT PLAN, WITH LIMITS OF $250,000 MEDICAL AND $10,000 ACCIDENTAL DEATH AND DISMEMBERMENT. IN THE EVENT OF A CLAIM, FAILURE TO HAVE SUCH INSURANCE IN FORCE VOIDS COVERAGE AFFORDED BY THIS LIABILITY COVERAGE. | ||||||||||
| I: | $0.00 | |||||||||||
| J: | $0.00 | |||||||||||
| K: | $0.00 | 4. During the tryout period all players are covered. After commencement of the playing season, coverage is provided for all players whose names are rostered with Babe Ruth League, Inc. It is understood that during the entire coverage period protection is afforded to the above Babe Ruth League Managers, Coaches, Scorekeepers, Bat and Ball Boys/Girls, Umpires, League Officials and members of a Booster Club. | ||||||||||
| L: | $0.00 | |||||||||||
| N: | $0.00 | 5. ALL TEAMS WITHIN APPLYING LEAGUE MUST PURCHASE THE COVERAGE. | ||||||||||
| Total Fees: | $0.00 | |||||||||||
| I HEREBY AGREE TO THE ABOVE STATEMENTS AND TERMS IN REGARDS TO INSURANCE AND FULLY UNDERSTAND AND AGREE TO COMPLY WITH THE ABOVE REGULATIONS INVOLVED WITH CHARTERING WITH BABE RUTH LEAGUE, INC. | ||||||||||||
| LEAGUE OFFICIAL'S SIGNATURE AND TITLE | DATE | |||||||||||
| President: | Work No. | ( ) | ||||||||||
| Street Address: | Home No. | ( ) | ||||||||||
| Mailing Address: | Fax No. | ( ) | ||||||||||
| City: | State: | Zip: | Email: | |||||||||