York Young Revolution and Lady Revs

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Lady Revs 14U B/C Softball Tryout Registration

* Player Name:

* Birth date:

* Email Address:

Please check here if player is a pitcher

Please check here if player is a catcher

* Parent or Guardian Name(s):

Secondary Email Address:

* Home Phone Number:

Cell Phone:

* Address:

Read the following information and check the box to indicate your agreement.

As the parent or guardian of this child, I authorize participation in all activities of the above program. I assume all risks and hazards incidental to such participation both during an activity and in route, and do hereby release and waive all claims against York Young Revolution, it's staff, volunteers, and participants. I also grant permission for emergency first aid to be given to my child in case of injury. Children may occasionally be photographed or videotaped while participating in the program. These images may also appear on the organization's website or local news media.

I agree to the above conditions *

* indicates required fields

IMPORTANT: Online Payment with credit cards is not active for this form

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Lady Revs 14U B/C Softball Tryout Registration