four oaks civitan club
FOUR OAKS CIVITAN CLUB 2018 SPRING TEE BALL REGISTRATION
PLAYERS AGE AS OF 05/01/18
_________________
Registration is open for ages 3, 4, 5, 6 … Players Name: ______________________________________
Home Phone #_______________________________
Date of Birth: _______________________ Youth T-Shirt Size:
Sm. (6-8) ___ Med. (10-12) ___ Lg. (14-16) ___
Parent/Guardian: _____________________________ Cell/Mobile #_____________________ Street Address: ________________________________City______________________ E-Mail Address_________________________________________________ WOULD PARENT OR GUARDIAN BE WILLING TO WORK IN ONE OF THE FOLLOWING AREAS? Name: ________________________________ Shirt Size: Adult Sm. Med. Lg. XL XXL XXXL TEE BALL SPONSORSHIP ($125) _____ COACH ______ ASST COACH _______ Sponsor’s Name or Name of Business: ______________________________________________________ Sponsor’s Address: _________________________________________________________ Telephone: _____________________________________ I/We, the parents and/or legal guardians of the above player give our approval for his/her participation in all related activities. I/We do further hereby release, absolve of indemnity, and hold harmless Four Oaks Civitan Club, the organizers, sponsors, coaches, managers, officers and volunteers, any and all of them. In case of injury to my/our child, I/we waive all claims against the Four Oaks Civitan Club and all its’ organizers, sponsors, coaches, managers, officers and volunteers. I/we understand and accept that there is risk of injury during activities, and I/we accept sole responsibility for our child in the event of injury or accident. I/we likewise release from responsibility any person transporting my/our child to or from the activities. Parent/Guardian Signature: _______________________________________ Date: ________________
For League Use Only Registration Fee:
Amount Paid $________
Cash_______
Check #________ Initials ______
Sponsorship Fee: Amount Paid $________
Cash_______
Check #________ Initials ______
Birth Certificate on File: _____ Initials COST FOR TEE BALL WILL BE $50.00 PER PLAYER PAYABLE UPON REGISTRATION. MAIL YOUR FORM AND CHECK TO:
Spring Tee Ball Registration PO Box 487 Four Oaks, NC 27524
FOR MORE INFORMATION VISIT: WWW.LEAGUELINEUP.COM/focivitan
PLEASE MAKE CHECK PAYABLE TO THE FOUR OAKS CIVITAN CLUB.
By signing below, I acknowledge that I have read and agree to abide by the Participation Rule, Chain of Command, and Adult Code of Conduct rules as determined by the Athletic Committee of the Four Oaks Civitan. Parent/Guardian: _____________________________________________
Date: ___________________
Parent/Guardian: _____________________________________________
Date: ___________________
If you are interested in coaching or have any questions please call Andy Jackson 919-795-7630 or [email protected]
PLAYERS AGE AS OF 05/01/18
_________________
Registration is open for ages 3, 4, 5, 6 … Players Name: ______________________________________
Home Phone #_______________________________
Date of Birth: _______________________ Youth T-Shirt Size:
Sm. (6-8) ___ Med. (10-12) ___ Lg. (14-16) ___
Parent/Guardian: _____________________________ Cell/Mobile #_____________________ Street Address: ________________________________City______________________ E-Mail Address_________________________________________________ WOULD PARENT OR GUARDIAN BE WILLING TO WORK IN ONE OF THE FOLLOWING AREAS? Name: ________________________________ Shirt Size: Adult Sm. Med. Lg. XL XXL XXXL TEE BALL SPONSORSHIP ($125) _____ COACH ______ ASST COACH _______ Sponsor’s Name or Name of Business: ______________________________________________________ Sponsor’s Address: _________________________________________________________ Telephone: _____________________________________ I/We, the parents and/or legal guardians of the above player give our approval for his/her participation in all related activities. I/We do further hereby release, absolve of indemnity, and hold harmless Four Oaks Civitan Club, the organizers, sponsors, coaches, managers, officers and volunteers, any and all of them. In case of injury to my/our child, I/we waive all claims against the Four Oaks Civitan Club and all its’ organizers, sponsors, coaches, managers, officers and volunteers. I/we understand and accept that there is risk of injury during activities, and I/we accept sole responsibility for our child in the event of injury or accident. I/we likewise release from responsibility any person transporting my/our child to or from the activities. Parent/Guardian Signature: _______________________________________ Date: ________________
For League Use Only Registration Fee:
Amount Paid $________
Cash_______
Check #________ Initials ______
Sponsorship Fee: Amount Paid $________
Cash_______
Check #________ Initials ______
Birth Certificate on File: _____ Initials COST FOR TEE BALL WILL BE $50.00 PER PLAYER PAYABLE UPON REGISTRATION. MAIL YOUR FORM AND CHECK TO:
Spring Tee Ball Registration PO Box 487 Four Oaks, NC 27524
FOR MORE INFORMATION VISIT: WWW.LEAGUELINEUP.COM/focivitan
PLEASE MAKE CHECK PAYABLE TO THE FOUR OAKS CIVITAN CLUB.
By signing below, I acknowledge that I have read and agree to abide by the Participation Rule, Chain of Command, and Adult Code of Conduct rules as determined by the Athletic Committee of the Four Oaks Civitan. Parent/Guardian: _____________________________________________
Date: ___________________
Parent/Guardian: _____________________________________________
Date: ___________________
If you are interested in coaching or have any questions please call Andy Jackson 919-795-7630 or [email protected]
