Dillsburg Girls Softball Association - (Dillsburg, PA)

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2024 Fall Rec Registration

PLAYER INFORMATION

* First Name:

* Last Name:

* Street:

* City:

* State:

* Zip Code:

* Played Before? Yes/No Coach Name::

* League Played:

* Birthdate:

* School District:

* Preferred Jersey Number (Can't be guaranteed-some duplicates):

* 2nd Choice Jersey Number:

* Jersey Size:

GUARDIAN 1

* Name:

* Cell Phone:

* Text Availability:

* Email:

GUARDIAN 2

* Name:

* Cell Phone:

* Text Availability:

* Email:

Additional Parent/Guardian Contact Info::

VOLUNTEER

Please consider signing up for one or more of the following. Our league will not continue to grow and thrive without the support of volunteers. We appreciate any time or resources that you can offer.

* Volunteer 1 Opportunties::

* Volunteer Name/Relationship to Player::

Other Volunteers: (Name/Relationship/Type of Interest):

MEDICAL/EMERGENCY CONTACT INFORMATION

* Emergency Contact:

* Phone:

* Relationship to Player:

* Please enter day/date conflicts, preferences or Health Concerns here::

WAIVER INFORMATION

I, parent or guardian of the above named participant for a position on a team, hereby give approval to her participation including transportation to and from the activities; and do hereby waive, absolve, indemnify and agree to hold harmless the local league association, the organizers, sponsors, supervisors, participants and persons transporting the participant to and from activities, for any claim arising out of an injury to the participant, except to the extent and in the amount covered by accidental and/or liability insurance held by the association.
I also grant permission to managing personnel or other association representatives to authorize and obtain medical care from any licensed physician, hospital, or medical clinic, should the participant become ill or injured while participation in league activities away from home, or at other times when neither parent is available to grant permission for emergency treatment. I also give my permission for photos of myself or daughter to be published on our website, Facebook page, and/or other social media.

I/we agree with the above *

* indicates required fields

Team Sponsor($250)