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Fort Lee Girls Youth Softball League
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2024 Online Girls Softball Clinic Registration
PLAYER INFORMATION
*
First Name:
*
Last Name:
Street:
*
City:
State:
New Jersey
*
Zip Code:
Home Phone( PLEASE USE DASHES) ex.201-555-1212:
*
Birthdate:
Jan
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*
Email:
Gender:
F
*
Grade:
1
2
*
School:
School#1
School #2
School#3
School #4
Lewis F Cole MS
Englewood Cliffs
Other
Notes::
PARENT/GUARDIAN #1
Firstname:
Lastname:
*
EMail:
Home Phone ( PLEASE USE DASHES) ex.201-555-1212:
Work Phone ( PLEASE USE DASHES) ex.201-555-1212:
*
Cell Phone( PLEASE USE DASHES) ex.201-555-1212:
PARENT/GUARDIAN #2
Firstname:
Lastname:
Email:
Home Phone ( PLEASE USE DASHES) ex.201-555-1212:
Work Phone ( PLEASE USE DASHES) ex.201-555-1212:
Cell Phone ( PLEASE USE DASHES) ex.201-555-1212:
MEDICAL/EMERGENCY CONTACT INFORMATION
Emergency Contact:
Phone( PLEASE USE DASHES) ex.201-555-1212:
Relationship to Player:
Insurance Carrier:
Policy #:
*
I give League permission to have pictures for league web site.:
Yes
No
Due to Covid , All players must supply there own batting helmet
WAIVER INFORMATION
As the parent or legal guardian of the child named on this application, I hereby give my full consent and approval for my daughter to participate in the Fort Lee Girls Softball League. Both the registrant and I agree to abide by the rules of the Fort Lee Girls Softball League. I understand that there are certain risks of injury inherent in the practice and play of this sport, as well as in the traveling and other related activities incidental to my child's participation and I am willing to assume the risks on behalf of my child. I hereby certify that my child is fully capable of participating in the designated sport(softball)and that my child id healthy and has no physical or mental disabilities or informalities that would restrict full participation in these activities except as listed below.
In addition, to giving my full consent for my child's participation, I do hereby waive, release and hold harmless the Fort Lee Girls softball league,, it's officers,coaches,sponsors,supervisors and representatives, including without limitations the Fort Lee Board of Education, the Borough of Fort Lee and any other owners of the field and facilities utilized for the program for any injury that may be suffered by my child in the normal course of participation in the designated sport and the activities incidental thereto, where the result of negligence or any other cause.
I/we agree with the above
*
* indicates required fields
Each Player($50)