Mercy Monarch Softball - (Rochester, NY) - powered by LeagueLineup.com

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Registration 2025 Mercy Softball Summer Camp

PLAYER INFORMATION

* First Name:

* Last Name:

* Street:

* City:

* State:

* Zip Code:

* Home Phone:

* Email:

* Gender:

* Your School in the Fall:

* Age:

PARENT/GUARDIAN #1

* Firstname:

* Lastname:

* EMail:

* Home Phone:

Work Phone:

* Cell Phone:

PARENT/GUARDIAN #2

Firstname:

Lastname:

Email:

Home Phone:

Work Phone:

Cell Phone:

* Emergency Contact:

* Phone:

* Relationship to Player:

Insurance Carrier:

Policy #:

WAIVER INFORMATION

I have been assured by my family physician that my daughter is in good health and I authorize the event staff to act for me accordingly in any medical emergency situation. I also release Mercy High School, the Sisters of Mercy Organization, and staff, from any and all liabilities for injuries that may occur during the participation of this program. I understand that I must provide proper health and medical insurance coverage for my daughter.

I/we agree with the above *

* indicates required fields

The Bonadio Group

171 Sully's Trail, Pittsford, NY 14534
(585) 381-1000
www.bonadiogroup.com