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2018 Registration form Parent/Coach Softball Game

PARENT/COACH PLAYER INFORMATION

* First Name:

* Last Name:

Street:

City:

State:

Zip Code:

Home Phone:

Birthdate, must be 18 years old or older:

Email:

Gender:

EMail:

Home Phone:

Work Phone:

Cell Phone:

* Shirt Size (For Free T-shirt/Uniform):

Adult Small

Adult Medium

Adult Large

Adult X-Large

Adult 2X-Large

Adult 3X-Large

WAIVER INFORMATION

By sigining up to play I understand the inherent risk of such physical activity and I am in sufficient health to perform the physical activity required. I am soley responsible for any harm or injury that I may have during this activity. Furthermore, I will not blame Peotone Baseball Softball Association, the Peotone Park District, or any individual(s) associated with either one for any pain or injury suffered as a result of my participating in this activity,

I/we agree with the above *

Signature:

Date:

* indicates required fields

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2018 Registration form Parent/Coach Softball Game