[email protected] 2017 Fall Rec Registration Form Player Name _________________________________________________________ Address _____________________________________________________________ Home Phone ____________________________________________ Parent/Guardian Cell Phone ________________________________ Parent/Guardian Email _________________________________________________ (Email address is very important—provides you with meeting/registration and in-season updates)
Player’s age _____________________ (as of January 1, 2017) New Travel Player Y / N
Player’s date of Birth____________________________
2017 Team/Coach __________________________ Mother’s Name ___________________________________________
For Barnegat Girls Softball League Use
Amount T-Shirt _______ Pants ________ Registration Fee __75.00_ Uniform _25.00___ Belt ________ Socks ________ Sweatshirt ________ Sweatshirt-Hooded ________ Jacket ________ Fundraiser ________ Family Sign ________ Membership ________ Late Fee-$30.00 ________ TOTAL ________ Amount Paid ________ Paid by Check # Cash/C.C.
________ ________
Check documents received: Mandatory Registration Form ________ Birth Certificate ________ (new registrants only)
Father’s Name ____________________________________________ Or Guardian’s Name _______________________________________ UNIFORM SIZE: (please check one) _______ Child Medium _______ Child Large _______ Adult Small
_______ Adult Medium _______ Adult Large _______ Adult X-Large
Photo Permission ________ Player Code of Ethics ________ Parent Code of Ethics ________ Optional Family Sign Form Coaches Application Coaches Code Team Sponsor Form
________ ________ ________ ________
Make checks payable to:
BARNEGAT GIRLS SOFTBALL LEAGUE (BGSL)
Player Level (check one) & registration fee is based on age as of 1/1/17 ______ 75.00
______TOURNAMENT FEES ______TOURNAMENT FEES
_________________DIVISION
_________________ _________________
Parent/Guardian signature: ______________________________________________ Date: ________________________ NO REFUND! _____________________________________________________________________ VISA/MASTERCARD ______________________________EXP DATE_________ CV CODE______________________________________ I AUTHORIZED MY CREDIT CARD TO BE CHARGED____________________________ DATE_______________