Dillsburg Girls Softball Association - (Dillsburg, PA)

2026 Fall Registration

PLAYER INFORMATION

* First Name:

* Last Name:

* Birthdate:

Divisions are based on the player's age as of August 31st, 2026. Play ups are only considered if the need arises due to current registration numbers and is at the discretion of the board. Please do not assume that having played up one season guarantees playing up again.

* Division Requested:

CONTACT INFORMATION

* Street:

* City:

* State:

* Zip Code:

* School District:

* Played Before? Yes/No Coach Name:

* Preferred Jersey Number (Cannot be guaranteed):

* 2nd Choice Jersey Number:

* Jersey Size:

* Guardian/Parent Name:

* Cell Phone:

* Email:

* Guardian/Parent Name:

* Cell Phone:

* Volunteer Opportunities:

* Volunteer Name/Relationship to Player:

* Email:

MEDICAL/EMERGENCY CONTACT

* Emergency Contact:

* Phone:

* Relationship to Player:

* Please enter Comments, preferences or Health Concerns here:

In order to keep league fees at a fair and reasonable cost, we have instituted an opt-out fee for those who choose not to support a fall fundraiser.

I acknowledge that my child will be required to participate in a fall fundraiser to help support league costs. If I choose not to participate or sell the required minimum, I will be required to pay an opt-out fee of 35.00.

I/we agree with the above *

WAIVER INFORMATION

I/we agree with the above *

I, parent or guardian of the above named participant for a position on a team, hereby give approval to her participation including transportation to and from the activities; and do hereby waive, absolve, indemnify and agree to hold harmless the local league association, the organizers, sponsors, supervisors, participants and persons transporting the participant to and from activities, for any claim arising out of an injury to the participant, except to the extent and in the amount covered by accidental and/or liability insurance held by the association.
I also grant permission to managing personnel or other association representatives to authorize and obtain medical care from any licensed physician, hospital, or medical clinic, should the participant become ill or injured while participating in league activities away from home, or at other times when neither parent is available to grant permission for emergency treatment. I also give my permission for photos of myself or daughter to be published on our website, Facebook page, and/or other social media.

* indicates required fields

Fall Mum Fundraiser Opt-Out Fee($35)

Team Sponsor($250)

Carroll Fence Advertising($500)