Salem Ballpark.....Where the game is still fun!!! - (Benton, AR)

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SALEM BALLPARK SPRING 2025 SOFTBALL REGISTRATION FORM

PLAYER INFORMATION

* First Name:

* Last Name:

* Street:

* City:

State:

* Zip Code:

* Phone Number::

* Birthdate:

* Players Age On 08/31/24:

* Gender:

Female

If MALE please exit this form and sign up using the Baseball Online Sign Up form.

Check if this is the first year to play at Salem Ballpark.

* 2024 TEAM/COACH (IF PLAYER DIDN'T PLAY AT SALEM IN 2024 PUT NONE):

PARENT/GUARDIAN #1

* Name::

* EMail:

* May we contact you at this email for promotional purposes?:

* Phone Number::

I am interested in coaching or willing to assist!

PARENT/GUARDIAN #2

Name:

Email:

May we contact them at this email for promotional purposes?:

Phone Number:

* Is this person a primary contact for player?:

They are interested in coaching or willing to assist!

EMERGENCY CONTACT INFORMATION (PLEASE LIST SOMEONE OTHER THAN PARENT(S)/GUARDIAN(S) LISTED ABOVE)

* Emergency Contact (Other than Parent/Guardian):

* Phone:

* Relationship to Player:

By the execution of this agreement, it is hereby understood and agreed that the Salem Park Board and the Salem Athletic Board shall be held blameless for any injury sustained by my child while participating in the 2025 baseball and softball programs. I hereby release and forever discharge said Salem Park Board and Salem Athletic Board from any and all actions, causes of action, claims and demands for bodily injury and medical expenses arising out of my child's participation in the program.

I/we agree with the above *

* Enter your email address for confirmation reply:

Choose the registration fee then click on "Submit".

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