Babe Ruth League Inc. / League Accident Insurance Company / /
Currency
USD / /
Facility
Classic City Center / /
MedicalCondition
injury / illness / serious illness / /
Organization
Auburn Little League / DeKalb Middle School / /
Person
Mike Stafford / Todd Stayer / / /
Position
Physician / program director / representative / Age____________ Each Player / president / player / Player___________________________________________________ Player / Work Phone /
Product
Auburn Little League-Babe Ruth League Required Medication / /
® NOTE: To be carried by any Regular Season or Tournament Player: _____________________________________