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Coosa Valley Girls Softball Association
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Coosa Valley Fall 2023
PLAYER INFORMATION
*
First Name:
*
Last Name:
*
Street:
*
City:
*
State:
Zip Code:
*
Home Phone:
*
Birthdate:
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
Email:
*
Gender:
M
F
Grade:
K
1
2
3
4
5
6
7
8
9
10
11
12
If player is already on a team then list team name or coach name:
PARENT/GUARDIAN #1
*
Firstname:
*
Lastname:
EMail:
*
Home Phone:
Work Phone:
Cell Phone:
PARENT/GUARDIAN #2
Firstname:
Lastname:
Email:
Home Phone:
Work Phone:
Cell Phone:
MEDICAL/EMERGENCY CONTACT INFORMATION
*
Emergency Contact:
*
Phone:
Relationship to Player:
WAIVER INFORMATION
By signing this registration form, I agree to allow my child to participate in the Coosa Valley Girls Softball Association league. I understand this is a non-profit organization and I agree to support this league by actively aiding in the raising of funds necessary to maintain this program and the teams participating. I also agree to abide by all the rules pertaining to conduct of spectators – before, during and after games, team practices, etc. as set by the Coosa Valley Girls Softball Association.
I do understand that there is a risk of injury in softball just as it is in any sport and I will not hold the coaches, league or members of the elected board liable for any injury that may occur during practices, games or any related event held by the league.
I/we agree with the above
*
* indicates required fields