SOFTBALL
River Cities League
PLAYER REGISTRATION FORM
Player
Name
Last
Street
Address
Street
City/State/Zip
City
Home
Phone
(
)
Email
Address
State
Zip
Name
(
)
Email
Address
Email
Address
Occupation
Occupation
Yes
/
No
Age
as
of
May
1st
Name
Cell
Number
Are
you
willing
to
Volunteer?
PARENT/GUARDIAN
#2
(
)
League
Age
PARENT/GUARDIAN
#1
Cell
Number
Birthdate
First
Are
you
willing
to
Volunteer?
Yes
/
No
MEDICAL
INFORMATION
Emergency
Contact
Name
Relationship
to
Player
Health
Insurance
Provider
Name
Phone
Number
Policy
No.
I/We
the
parent(s)/
guardian(s)
of
the
above
named
player,
hereby
give
my/our
approval
to
his
participation
in
River
Cities
League
Summer
Softball
during
the
current
season.
I/We
assume
all
risks
incidental
to
the
conduct
of
the
sporting
activities
of
the
River
Cities
League
and
transportation
to
and
from
these
activities.
I/We
do
further
hereby
release,
absolve
from
indemnity
and
hold
blameless
and
harmless
the
River
Cities
League,
said
Leagues
organizers,
sponsors
and
the
volunteers
working
therein,
any
or
all
of
them,
in
case
of
injury
to
my/our
player.
I/We
hereby
waive
all
claims
against
the
River
Cities
League,
said
Leagues
organizers,
sponsors
and
the
volunteers
working
therein,
any
or
all
of
them,
arising
in
any
way
from
any
injury
suffered
by
my/our
player.
I/We
likewise
release
from
responsibility
any
person
transporting
my/our
player
to
and
from
the
activities
of
the
River
Cities
League
in
regard
to
any
and
all
claims
arising
in
any
way
from
any
injury
suffered
by
my/our
player.
I/We
will
furnish
a
birth
certificate
for
the
above
player
upon
request
of
the
River
Cities
League.
I/We
the
parent(s)/guardian(s)
of
the
above-named
player,
in
case
of
injury
to
my/our
player
in
my/our
absence,
hereby
authorize
any
hospital
and/or
attending
physician
to
give
any
emergency
medical
attention
or
treatment
deemed
medically
beneficial
to
my/our
player.
Parent/Guardian
Signature
___________________________________________________________
Date___________________
Parent/Guardian
Signature
___________________________________________________________
Date___________________