North Plainfield Recreation AWS
2017 Baseball, Softball & T-Ball Registration Form
North Plainfield Recreation 93 Greenbrook Road North Plainfield NJ 07060 Notice: Fall Sports Registration will be in the Spring. No Soccer, Archery or Field Hockey Registration in the Fall.
Recreation Hotline: 908 756-0247
T-ball $55 Boys & Girls K
Coach Pitch $55 Boys & Girls 1st–2nd Grades
Softball $65 Girls 3rd-8th Grades
Baseball $65 Boys 3rd–8th Grades
(Make checks payable to: Boro of N. Plainfield Recreation. $1 will go towards the N.P.H.S. Scholarship Fund)
Please Check One: (must complete a form for each child) Drop Off Registration form and payment at Recreation office (93 Greenbrook Road, North Plainfield NJ 07060) Player Information:
Online Registration Now Available at NP-Recreation.com Receive $20 Coupon to Dick’s Sporting Goods when registering online
In Person Registration March 2nd & 3rd from 7-9 pm at Vermeule (614 Greenbrook Road) 1st,
Opening Day Sunday, April 9th
Player’s Name:________________________________________Age:_________Sex:__________Grade:______ Player’s Address:____________________________________________________________________________ Home Phone:_____________________ Date of Birth:_________________ School:_____________________ Allergies / Medical Problems:___________________________________________________________________
Circle if your child has any of the following:
EpiPen
Inhaler
Instructions: ________________________
What is your child’s level of experience playing on a team?
Beginner
Does child play on a travel or school team?
Soccer
Baseball/Softball
1 year
2 year
Basketball
3+ years
Other____________
My player and I have read or will read the North Plainfield Parks and Recreation Code of Conduct policies located at www.np-recreation.com. We agree to abide by policies established by the North Plainfield Recreation Committee. Parent/Legal Guardian Information: Parent/Guardian Name:________________________________ Signature:________________________________ Parent’s Cell Phone: _____________________ Parent’s Email: ________________________________________ Equipment/Uniforms: All players receive a shirt, pants, hat, & socks. Circle the Correct Size for Shirt and Pants. True Size Samples available at Registration.
Youth Sm Med Lg
Youth Sm Med Lg
(Circle One)
Adult Sm Med Lg XL XXL
YES, I will Coach! Your Name: _________________________________ Your Phone: _____________________________ Your Email: __________________________________
(Circle One)
Adult Sm Med Lg XL XXL
I have been: Fingerprinted to Coach Rutgers Safety Certified I am at least 18 years old
Code of Conduct: My player and I have read or will read the North Plainfield Parks and Recreation Code of Conduct policies located at www.np-recreation.com. We agree to abide by policies established by the North Plainfield Recreation Committee. _________________________________________________ (sign/date)
np-recreation.com
Picture/Video Release: I agree that by letting my child(ren) participate in a Borough of North Plainfield Recreation Department event they may use his/her picture for publication. __________________________________________________ (sign/date)
Liabilities Release: The undersigned participant or parent, if under the age of 18, assumes all risks involved and shall hold harmless the Borough of North Plainfield, the Recreation Committee, and its employees, from any and all liabilities. ____________________________________________________________ (sign/date) Amount Paid Check #: _________ Cash: _________
Updated 2/6/2017
North Plainfield Recreation Department Parks Committee
North Plainfield Recreation 93 Greenbrook Road North Plainfield NJ 07060 Notice: Fall Sports Registration will be in the Spring. No Soccer, Archery or Field Hockey Registration in the Fall.
Recreation Hotline: 908 756-0247
T-ball $55 Boys & Girls K
Coach Pitch $55 Boys & Girls 1st–2nd Grades
Softball $65 Girls 3rd-8th Grades
Baseball $65 Boys 3rd–8th Grades
(Make checks payable to: Boro of N. Plainfield Recreation. $1 will go towards the N.P.H.S. Scholarship Fund)
Please Check One: (must complete a form for each child) Drop Off Registration form and payment at Recreation office (93 Greenbrook Road, North Plainfield NJ 07060) Player Information:
Online Registration Now Available at NP-Recreation.com Receive $20 Coupon to Dick’s Sporting Goods when registering online
In Person Registration March 2nd & 3rd from 7-9 pm at Vermeule (614 Greenbrook Road) 1st,
Opening Day Sunday, April 9th
Player’s Name:________________________________________Age:_________Sex:__________Grade:______ Player’s Address:____________________________________________________________________________ Home Phone:_____________________ Date of Birth:_________________ School:_____________________ Allergies / Medical Problems:___________________________________________________________________
Circle if your child has any of the following:
EpiPen
Inhaler
Instructions: ________________________
What is your child’s level of experience playing on a team?
Beginner
Does child play on a travel or school team?
Soccer
Baseball/Softball
1 year
2 year
Basketball
3+ years
Other____________
My player and I have read or will read the North Plainfield Parks and Recreation Code of Conduct policies located at www.np-recreation.com. We agree to abide by policies established by the North Plainfield Recreation Committee. Parent/Legal Guardian Information: Parent/Guardian Name:________________________________ Signature:________________________________ Parent’s Cell Phone: _____________________ Parent’s Email: ________________________________________ Equipment/Uniforms: All players receive a shirt, pants, hat, & socks. Circle the Correct Size for Shirt and Pants. True Size Samples available at Registration.
Youth Sm Med Lg
Youth Sm Med Lg
(Circle One)
Adult Sm Med Lg XL XXL
YES, I will Coach! Your Name: _________________________________ Your Phone: _____________________________ Your Email: __________________________________
(Circle One)
Adult Sm Med Lg XL XXL
I have been: Fingerprinted to Coach Rutgers Safety Certified I am at least 18 years old
Code of Conduct: My player and I have read or will read the North Plainfield Parks and Recreation Code of Conduct policies located at www.np-recreation.com. We agree to abide by policies established by the North Plainfield Recreation Committee. _________________________________________________ (sign/date)
np-recreation.com
Picture/Video Release: I agree that by letting my child(ren) participate in a Borough of North Plainfield Recreation Department event they may use his/her picture for publication. __________________________________________________ (sign/date)
Liabilities Release: The undersigned participant or parent, if under the age of 18, assumes all risks involved and shall hold harmless the Borough of North Plainfield, the Recreation Committee, and its employees, from any and all liabilities. ____________________________________________________________ (sign/date) Amount Paid Check #: _________ Cash: _________
Updated 2/6/2017
North Plainfield Recreation Department Parks Committee
