North Plainfield Recreation
Catch the Fun!
North Plainfield Recreation 93 Greenbrook Road North Plainfield NJ 07060 Recreation Hotline: 908 756-0247
2016 Baseball, Softball & T-Ball Registration Form Don’t Miss Opening Day on Sunday, April 10th Registration Dates: March 2nd, 3rd, and 4th, 2016 All registrations take place at Vermeule Community Center on Clinton Ave. Weekday registrations are from 7-9 pm Please Check One: (must complete a form for each child) T-ball $55 Coach Pitch $55 Softball $65 Boys & Girls K Boys & Girls 1st–2nd Grades 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) 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 Basketball
2 year
3+ years
Other____________
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
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. The undersigned participant or parent, if under the age of 18, assumes all risks involved np-recreation.com and shall hold harmless the Borough of North Plainfield, the Recreation Commission, and its employees, from any and all liabilities.
Amount Paid Check: _________ Cash: _________
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 Commission.
Last Updated 1/2/2013
North Plainfield Recreation Department Parks Commission 2/2/2016
North Plainfield Recreation 93 Greenbrook Road North Plainfield NJ 07060 Recreation Hotline: 908 756-0247
2016 Baseball, Softball & T-Ball Registration Form Don’t Miss Opening Day on Sunday, April 10th Registration Dates: March 2nd, 3rd, and 4th, 2016 All registrations take place at Vermeule Community Center on Clinton Ave. Weekday registrations are from 7-9 pm Please Check One: (must complete a form for each child) T-ball $55 Coach Pitch $55 Softball $65 Boys & Girls K Boys & Girls 1st–2nd Grades 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) 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 Basketball
2 year
3+ years
Other____________
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
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. The undersigned participant or parent, if under the age of 18, assumes all risks involved np-recreation.com and shall hold harmless the Borough of North Plainfield, the Recreation Commission, and its employees, from any and all liabilities.
Amount Paid Check: _________ Cash: _________
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 Commission.
Last Updated 1/2/2013
North Plainfield Recreation Department Parks Commission 2/2/2016
