Wickliffe FastPitch League Player Registration Form 2015

Transcription

Wickliffe FastPitch League Player Registration Form 2015
Wickliffe FastPitch League
Player Registration Form
2015
Registration Closes March 14, 2015
Email questions to [email protected]
Player’s Information:
Name:
Birth Date:
Address:
Phone:
E-Mail:
Shirt Size:
YS
YM
YL
AS
AM
AL
Divisions:
7-8*
10U
12U
14U
15+
(BASED ON AGE AS OF JANUARY 1st) *coach pitch division
New Player:
Yes _____
Coach/Manager Fee:
AXL
Experienced:
No _____
(circle one)
Pitcher _____ Catcher _____
($15 fee covers background check and shirt)
Coach Name:
Shirt Size: AS AM AL XL XXL XXXL (circle one)
How would you like to help:
Player Registration
1
2
3
Coach Fee
AXXL
Manage_____ Coach_____
Registration Fee
$70
$100
$120
$15
Amount Due
Amount Paid
Umpire_____
Other_________________________
Make Checks payable to: WFL
Mail To: Wickliffe FastPitch League
PO Box 57
Wickliffe, OH 44092-0057
Total
____________
Cash
Check #
Please Check: Following GLFL rules, this player will only participate in the GLFL and not be a member of any
other league. Birth Certificate will be furnished upon request.
GENERAL RELEASE FROM HARM: I, the legal parent or guardian of the above named player, a minor, on behalf of her, and her heirs, executors, or
administrators, and assigns, hereby fully release and discharge the Wickliffe FastPitch League, its officers and board members, its leagues,
managers, coaches, umpires, sponsors, and any other individual or business associated with the sponsoring, management, or operation of the
Wickliffe FastPitch League, from all rights, claims and actions which said minor child or I may have at any future time against all those associated
with the Wickliffe FastPitch League, arising as a result of the above named minor child’s participation in any league or game, or activity associated
with any game or league of the Wickliffe FastPitch League.
This release is given with full understanding of the potential for injury and/or harm which can occur to any minor child participating in any form of
athletic endeavor and/or in competition with minors, and is given freely and voluntarily with full understanding of the implications therein.
Signed:
WFL Tracking:
Registrar
Date:
Finance Sec
Witness:
Treasurer