Washington County Girls Softball League Registration/Photo Release Form Please Fill Out Both Sides of This Form
Date: ________ School:__________________________________ Grade: _________ Birth Date: _________ Player’s Name:________________________________________________________________________________ Parent/Guardian # 1
Main Contact
Parent/Guardian # 2
Secondary Contact
Name: _________________________________________
Name: ________________________________________
Address:_______________________________________
Address:______________________________________
_______________________________________________
______________________________________________
Home Phone # __________________________________
Home Phone # _________________________________
Cell Phone # __________________________________
Cell Phone # _________________________________
Email: _________________________________________
Email: _______________________________________
Team Name Last Year: ______________________________ Do You want to Return to This Team? Yes
No
IF no you must fill out special request form
Please Select Shirt Size: YS
YM
YL
YXL
AS
AM
AL
AXL
AXXL
AXXXL
Please PRINT Last Name to Appear on Shirt: _____________________________________________________ Please Select Sock Size: Small
Medium
Large
Uniform Number 1st Choice: ______ 2nd Choice: ______
Do you play Travel Ball or In Another League? IF YES PLEASE LIST NAME: ___________________________________
Positions I Can Play: __________________________________________________________________________ Emergency Care Information Physician Name:____________________________________________________ Phone:_________________________________ Insurance Company:___________________________________________ Policy Number:________________________________
Emergency Contact:
(List Someone Other Than Yourself)
Name:_______________________________________Phone:1st ________________________Phone:2nd ______________________ Address:__________________________________________________City:________________________________State:__________ IMPORTANT INFORMATION PLEASE SIGN BELOW I hereby acknowledge that I received and read the concussion information, parental permission to play/waiver, concession stand guidelines. I certify that I understand ALL the information that has been provided to me by signing below. WCGSL PARENTAL PERMISSION TO PLAY / WAIVER I, the parent or guardians of the named applicant, give approval to my child’s participation in all activities of the Washington County Girls Softball League. I assume all risks and hazards incidental to such participation including transportation to and from all activities. I do hereby waive, release, absolve, and indemnify, and agree to hold harmless Washington County Girls Softball League and Pony Softball. The organizers, coaches, sponsors, league officials, other participants, and appointed persons transporting my child to or from program activities for any claims arising out of injury to my child incidental to such participation, except to the extent and amount covered by accident and/or liability insurance held by Washington County Girls Softball League. I further agree that in my absence, the designated league officers, and/or team coaches shall have authority to take action, as deemed necessary, to provide or render immediate medical attention to the above named applicant due to sudden illness or injury incidental to, or occurring during her participation.
Parent/Guardian Signature:
Athlete Signature:
Date:
LEAGUE USE ONLY Payment
Cash Check # ____________Registration Fee:_________ Concession Fee:_________ Amount Paid: ___________
SRF# ________
THIS FORM MUST BE WITH MANAGER/COACH AT ALL W.C.G.S.L. ACTIVITIES. Please Fill Out Other Side
WCGSL PHOTO RELEASE AGREEMENT/WCGSL jewelry policy. The Washington County Girls Softball League from time to time, posts photographs from our games on the league’s website and the leagues social media pages. By registering your child to play, you hereby grant Washington County Girls Softball League and its representatives, agents, volunteers, and assigns, the irrevocable and unrestricted right to use and publish photographs of registered participant or those in which she may be included, for editorial trade, advertising, and any other purpose and in any manner and medium; and to alter the same without restriction. I understand that no picture with the player/players names will be used on the web site or social media pages. I hereby release the Washington County Girls Softball League and its legal representatives, agents, volunteers and assigns from all claims and liability relating to said photographs.
I _______________________ DO give my consent to have ________________________ Photographs posted to the above mention.
I _______________________ DO NOT give your consent to have Photographs of ______________________used by Washington County Girls Softball League. WCGSL/Pony Softball Jewelry Policy Players are not allowed to wear any jewelry during practices and games. This includes piercings, rings, watches, bracelets, and necklaces. Players must remove all jewelry prior to practices and/or games; this will include even new piercings. Please be aware of this a avoid problems by delaying any new piercings until after the softball season. NOTE: Medical bracelets and necklaces are not considered jewelry, but if worn must be taped to the body.
Players Name: _______________________________________________________ Parent/Guardian Name: ________________________________________________ Signature: __________________________________ Date: ___________________