THOMASTON-UPSON COUNTY RECREATION & PARKS DEPARTMENT
YOUTH
PARTICIPANT REGISTRATION FORM SPORT Fall Baseball Name _______________________________ Mailing Address______________________________ City
_____________________ Inside
____ Outside ____ City Limits Phone ___________________ Date of Birth __________________ Age ____________ Male _____ Female _____ Grade _______ School _______________________________ Team
Played on Last Year ___________________________________________________ Parent's Name _________________________ Email Address ___________________________ Business Phone Father __________________________ Mother _________________________ Home Phone Father __________________________ Mother _____________________________ Doctor ________________________________ Phone _____________________________ Child's Physical Condition _____________________________________________________
(List any physical or mental handicaps or diseases such as epilepsy, heart murmur, rheumatic fever, etc. which your child may have or any other special medical information which may affect your child's participation). All Participants please select shirt size: Please select
SHIRT SIZE: YS YM YL
AS AM AL
AXL A2X
NO REFUNDS
AFTER DRAFT on August 16, 2011 ************************************************************************* The Thomaston-Upson
Recreation Department would like to notify parents/guardians that photos of
individual players or teams will be taken for our sponsors and promotional
projects. I/We, the above parents of
the above named child, hereby give my/our approval for their participation in
activities during the current season.
I/We assume all risks and hazards incidental to the conduct of the
activities and transportation to and from activities. I/We do further hereby release, absolve,
indemnify and hold harmless the Thomaston-Upson County Recreation Commission,
Recreation & Parks Department, the organizers of the activity, sponsors,
supervisors any or all of them. In
case of injury to my/our child, I/We hereby waive all claims against the
organizers, the sponsors, or any of the supervisors appointed by them except
to the extent covered by insurance.
I/We do certify that our ward is covered by group accident or other
comparable insurance. I/We, the parents of
the above named child, hereby give my/our permission to the person in charge
of the activity to take my/our child to the doctor or hospital in case of
injury. I/We understand I/We will be
responsible for any and all cost incurred by emergency transportation or
medical treatment provided.
Are you interest in a volunteer position with
Fall Baseball? Name: _________________________________________ Are
you a certified coach interested in coaching Fall Baseball 2011? _______________________________ |