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