2015 SPRING LEAGUE REGISTRATION FORM 01 0
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13775-A Mono Way#333 Registration Fees Include payment of umpires, clinics, equipment, field use fees, uniforms and awards. Sonora, CA 95370 209‐782‐0634 PLAYER INFORMATION www.tcgfastpitch.com Email:
[email protected] Players Name: __________________________________Date of Birth: (Certificate Required) ___________ Grade: ______ School: _____________________
Address: __________________________________________________________
Uniform -REQUIRED Mark choices below:
City: _____________________ Zip code: _________
Parent/Guardian’s Name: _________________________________________________ Email Address: ________________________________________ Home Number: ______________________ Cell Number: ___________________________ Work Number: ____________________________
If unsure of size, please size up to assure fit. Shirt: Youth Small - Youth Medium - Youth Large - Adult Small Adult Medium
Parent/Guardian’s Name: _________________________________________________ Email Address: ________________________________________ Home Number: ______________________ Cell Number: ___________________________ Work Number: ____________________________ Geographical location desired: (Please indicate 1st and 2nd choice) Tuolumne Twain Harte Groveland Jamestown Columbia Sonora Curtis Creek Soulsbyville Placement on same team is not guaranteed* Coach played for last year: __________________________ Position(s) Played Last year__________________________________ Is Player interested in pitching or catching? Yes No
Adult Large
Emergency Information
Adult X-Large
Medical Insurance Carrier:
Socks
In case of an emergency, I authorize that my child be treated by EMT, First Response and/ or an ER physician.
Youth Socks - Junior Socks (Y4 -W10) ** Pants must be worn and provided by the parent/player . Coach will determine pant color.
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Emergency Contact:
Relationship:
Policy ID#
*Parent Initial
Phone #
Parent Interest: Head Coach Assistant Coach Umpire Sponsor Board Member All volunteers must complete a Volunteer Application to be considered for any position within Tuolumne County Girls Fastpitch.
I/We the parents/guardians of the above named player hereby give my/our approval to participate in any and all Tuolumne County Girls Fastpitch League (TCGF) activities. I/We know that participation in softball may result in serious injuries and protective equipment does not prevent all injuries to players, and do hereby waive, release, absolve, indemnify, and agree to hold harmless TCGF, the organizers, sponsors, supervisors, coaches, volunteers and participants from any claim arising out of any injury to my/our child whether the result of negligence or for any cause. I/We hereby release TCGF and any of it paid or voluntary personnel from all actions, claims or demands that I/We, my child, my assignees, heirs, distributes, guardians and legal representative now have or may hereafter have for injury or damages resulting from participating in the activities of Tuolumne County Girls Fastpitch. I/We will furnish a certified birth certificate of the above named new player. Failure to furnish birth certificate will void any registration and any registration fee paid will be refunded.
_______________________________________________________ Parent Signature
___________________________________________________ Please print name
________________ Date
REGISTRATION IS NOT COMPLETE UNTIL FORM, BIRTH CERTIFICATE (new players only), PAYMENT AND PARENT CONTRACT ARE RECEIVED*