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2022-23 Erie Frost Player Registration Form
PLAYER INFORMATION
*
First Name:
*
Last Name:
*
Street:
*
City:
State:
NY
OH
PA
*
Zip Code:
Gender:
F
M
*
School District the Player is Attending:
*
Grade:
K
1
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Birthdate:
Jan
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Player Contact Information
*
Email:
Phone 814-XXX-XXXX:
*
Previously Played for Erie Frost:
Yes
No
PARENT/GUARDIAN #1
*
Parent Firstname:
*
Parent Lastname:
*
Cell Phone (814-XXX-XXXX):
*
Alternate Email:
PARENT/GUARDIAN #2
*
2nd Gaurdian Firstname:
*
2nd Gaurdian Lastname:
Cell Phone if different (814-XXX-XXXX):
Alternate Email:
MEDICAL/EMERGENCY CONTACT INFORMATION
*
Emergency Contact:
*
Phone:
*
Relationship to Player:
Insurance Carrier:
Policy #:
WAIVER INFORMATION
***** ***** ***** ***** *****
I have read and understand the requirements to participate on an Erie Frost traveling team and I hereby give my child permission to participate. I agree to be legally bound that I will not hold Erie Frost Softball or any of its representatives responsible or liable for: (a) any injuries sustained at the tryouts or during the playing season (including practices or other activities); or (b) any damage or loss of personal property at any time.
***** ***** ***** ***** *****
Parents knowingly and willingly assume the risk to have direct or indirect contact with individuals who have been exposed to and/or diagnosed with one or more communicable diseases, including but not limited to COVID-19 or other medical conditions, diseases, or maladies, and/or any mutation or variation thereof does exist and it is impossible to eliminate the risk that I could become infected through contact with or close proximity to an individual with a communicable disease.
I/we agree with the above
*
* indicates required fields