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ROCHESTER GIRLS SOFTBALL 2008
T-Ball, Minor, Junior, and Senior League Registration
Registration Fee: $35 first child - $20 additional child - family
plan $65
(one child per form please)
Players Name:
_____________________________________________________________________
Parents Name:
__________________________________________________________ __________
Address:
_________________________________________________________________________
Phone: __________________________Child's Date of
Birth:_____________________ Age: ______
*To be eligible to participate, girls must be at least 4 yrs old on
January 1, 2008
If you played last year, fill in League & Team
Name:_________________________________________
I hereby give my consent for my daughter
_________________________________________________,
to participate in Rochester Girls Softball during the summer of 2008.
__________________________________________________________Parent's
Signature
Medical Consent
I, being the parent
and/or legal guardian of ________________________________________________,
do
hereby give
permission to the Rochester Girls Softball League to secure whatever
emergency medical services and/or medical examination deemed necessary by the staff of the Rochester Girls
Softball League
and/or licensed
medical doctors. This shall include but not be limited to surgical,
dental, optical, neurological or
emergency
needs. This form shall give authorization for all medical needs
whether emergency, routine
or diagnostic.
Signature
__________________________________________________ Date
_________________
List all
Medications:__________________________________________________________________
(name & dosage)
Allergies/medical
conditions:___________________________________________________________
____ Yes, I would like to donate $25 instead of participating in
the fund raiser & that amount is included
with my registration payment.
____ No, my daughter will participate in the
fund raiser & do her best to sell $50 worth of merchandise
Shirt Size - Circle One: Ym
Yl As Am
Al Axl
(Y=youth, A=Adult)
Please return this form along with your payment by
February 28th to any of the following:
Cecil Enyart
DeBruler Studio
Jill Lewis
2729 Big Hill Dr.
100 West 9th Street - 2nd Floor
PO Box 903
Rochester, IN 46975
Rochester, IN 46975
Rochester, IN 46975
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