PG PONY BASEBALL

EQUIPMENT SIGN-OUT AND RETURN FORM

League: ___________________________ Team: ___________________________

League Rep: _______________________ Manager: ________________________

Equipment Received (number of items):

____ Catchers Mask ____ Catchers Glove ____ Bats

____ Catchers Helmet ____ Batting Helmets ____ Throw-down bases

____ Catchers Throat Protector ____ Equipment Bag

____ Shin Guards ____ Chest Protector ____ First Aid Kit

____ Ball Bag ____ Used Baseballs ____ New Baseballs(*)

(*) Enough new baseballs should be set aside for game balls.

If any piece of equipment needs replacing or if additional first aid supplies are needed, please contact the League Representative or Equipment Manager.

For each Manager to acknowledge: I understand that I am responsible for the maintenance and returning of the above equipment at the end of the season to either the League Representative or the Equipment Manager. Failure to return or account for the above equipment may result in being charged for the cost of replacement and possible exclusion from managing a team in future years.

Managers Signature: ______________________________ Date: _______________

League Rep Signature: ____________________________ Date: _______________

Equipment Manager Signature: _____________________ Date: _______________

Return Information

Items returned __________ Date: _____________

Items missing: ______________________________________________________________

Items broken or beyond repair: ______________________________________________

Manager's Signature: ____________________Rep Signature: _____________________