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PNGSL Player Registration Form

The document is a player registration form for a youth softball league that collects the player's personal information such as name, address, phone number, team from last year, and birthdate. It also collects medical information and has the parent sign to give approval and consent for their child to participate as well as release the league from liability. The form tracks payment received and checks off documentation received to verify eligibility.

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Monique Batson
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© Attribution Non-Commercial (BY-NC)
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399 views1 page

PNGSL Player Registration Form

The document is a player registration form for a youth softball league that collects the player's personal information such as name, address, phone number, team from last year, and birthdate. It also collects medical information and has the parent sign to give approval and consent for their child to participate as well as release the league from liability. The form tracks payment received and checks off documentation received to verify eligibility.

Uploaded by

Monique Batson
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

PNGSL Player Registration Form

Name: First, Middle, Last _______________________________________________________________________


Address _____________________________________________________________________________________
Phone ____________________________ Team Played on Last Yr. _______________________________________
DOB ______________________________ Childs Age as of Dec 31, 2013 _________________________________
Height ____________________________Jersey Size _________________Pant Size _________________________

Parents Information
Father ______________________________________

Mother_______________________________________

Phone ______________________________________

Phone ________________________________________

Email ______________________________________

Email _________________________________________

Players Release
Having been informed of the intentions of the above-listed league to provide supervised games and practice sessions, I, the
parent/guardian of the above-named applicant do hereby give my approval for my childs participation in any and all activities
during the current season. I assume all risks and hazards incidental to the conduct of these activities and I further hereby agree
to indemnify, release, absolve and hold harmless the above-mentioned league, its officials, organizers and the Texas Amateur
Softball Association/District 39. In case of injury to my child and in my absence, I authorize a representative of the abovementioned league to obtain emergency medical care of a physician and I hereby waive all claims against above-mentioned
league, its organizers, officials or any supervisors appointed by them. I likewise release from responsibility the person
transporting my child to and from activities. I certify that my child is physically fit to participate in all activities of the abovementioned league. I assume full responsibility for any sickness, injury, and/or death which may occur during the abovementioned leagues activities and I agree to indemnify, absolve and release the above-mentioned league, its officials, Amateur
Softball Association of America, Texas Amateur Softball Association/District 39 from all liability thereof. Parents and players
agree to be governed by the rules of the Amateur Softball Association as published in the current official rule book.

Parent Signature____________________________________________ Date_____________________________

Medical Information
Physicians Name___________________________________ Phone_____________________________________
Address______________________________________________________________________________________

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

_____ID Information _____Birth Cert


_____Pmt Received _____Cash

_____Birth Cert in League File

_____Check (#____________)

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