North Plainfield Recreation
2017 Fall Youth Sports Registration Form
North Plainfield Recreation 93 Greenbrook Road
North Plainfield
NJ
07060
Field Hockey $45
Archery $45
Soccer $45
Girls 3rd – 6th Boys/Girls 3rd – 8th Boys/Girls K-8th $1 will go towards the N.P.H.S. Scholarship Fund
View Adult Sports Online
Please Check One: must complete a form for each athlete Drop Off Registration form and payment at Recreation office (93 Greenbrook Road, North Plainfield NJ 07060)
In Person Registration June 7, 8 & 9 from 7-9 pm at Vermeule (614 Greenbrook Road)
Online Registration Now Available @NP-Recreation.com Receive $20 Coupon to Dick’s Sporting Goods when registering online
Player Information:
Player’s Name:_________________________________ Current Grade:_________ Rising Grade (in fall):______ Player’s Address:______________________________________________________ Age:______ Gender:_____ Home Phone:_____________________ Date of Birth:_________________ School:_____________________ Allergies / Medical Problems:_________________________________________________________________________ Circle your child’s level of experience playing on a team: Beginner 1 year 2 year 3+ years Circle any travel teams your child plays on: Baseball/Softball Soccer Basketball Other Parent/Legal Guardian Information: Parent/Legal Guardian Name:________________________________ Signature:________________________________________________ Parents Cell Phone: ___________________ Parent/Guardian’s Email Address: _________________________ Equipment/Uniforms: Archery: All participants will receive a shirt. Soccer: All players will receive a shirt, shorts and socks. Players will need soccer cleats and they MUST HAVE shin guards to play. Field Hockey: All players will receive a shirt for field hockey. Players must wear shin guards. Youth Sm Med Lg
Adult Sm Med Lg XL XXL
Youth Sm Med Lg
(Circle One)
Adult Sm Med Lg XL XXL
Amount Paid Check: _________ Cash: _________
Notice: Fall Sports Registration will ONLY be in the Spring. No Soccer, Archery or Field Hockey Registration in the Fall.
Recreation Hotline: 908 756-0247
(Circle One)
Volunteer Coach and Assistant Coach Information: YES, I will Coach Your Name: _________________________________ Your Phone: _________________________________ Your Email: _______________________________ __
I have been: Fingerprinted to Coach Rutgers Safety Certified
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. 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.
np-recreation.com
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 Commission, and its employees, from any and all liabilities.
North Plainfield Recreation Department Parks Commission * *
North Plainfield Recreation 93 Greenbrook Road
North Plainfield
NJ
07060
Field Hockey $45
Archery $45
Soccer $45
Girls 3rd – 6th Boys/Girls 3rd – 8th Boys/Girls K-8th $1 will go towards the N.P.H.S. Scholarship Fund
View Adult Sports Online
Please Check One: must complete a form for each athlete Drop Off Registration form and payment at Recreation office (93 Greenbrook Road, North Plainfield NJ 07060)
In Person Registration June 7, 8 & 9 from 7-9 pm at Vermeule (614 Greenbrook Road)
Online Registration Now Available @NP-Recreation.com Receive $20 Coupon to Dick’s Sporting Goods when registering online
Player Information:
Player’s Name:_________________________________ Current Grade:_________ Rising Grade (in fall):______ Player’s Address:______________________________________________________ Age:______ Gender:_____ Home Phone:_____________________ Date of Birth:_________________ School:_____________________ Allergies / Medical Problems:_________________________________________________________________________ Circle your child’s level of experience playing on a team: Beginner 1 year 2 year 3+ years Circle any travel teams your child plays on: Baseball/Softball Soccer Basketball Other Parent/Legal Guardian Information: Parent/Legal Guardian Name:________________________________ Signature:________________________________________________ Parents Cell Phone: ___________________ Parent/Guardian’s Email Address: _________________________ Equipment/Uniforms: Archery: All participants will receive a shirt. Soccer: All players will receive a shirt, shorts and socks. Players will need soccer cleats and they MUST HAVE shin guards to play. Field Hockey: All players will receive a shirt for field hockey. Players must wear shin guards. Youth Sm Med Lg
Adult Sm Med Lg XL XXL
Youth Sm Med Lg
(Circle One)
Adult Sm Med Lg XL XXL
Amount Paid Check: _________ Cash: _________
Notice: Fall Sports Registration will ONLY be in the Spring. No Soccer, Archery or Field Hockey Registration in the Fall.
Recreation Hotline: 908 756-0247
(Circle One)
Volunteer Coach and Assistant Coach Information: YES, I will Coach Your Name: _________________________________ Your Phone: _________________________________ Your Email: _______________________________ __
I have been: Fingerprinted to Coach Rutgers Safety Certified
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. 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.
np-recreation.com
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 Commission, and its employees, from any and all liabilities.
North Plainfield Recreation Department Parks Commission * *
