Online Registration Form

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Online Registration Form

I/We the parents of the child listed below, hereby give my/our approval to his/her participation in any and all Fletcher Recreation Park, Inc. activities. I/We assume all risks and hazards incidental to such participation including transportation to and from such activities and I/We do hereby waive, release, absolve and indemnify and agree to hold harmless the officers, directors, sponsors, coaches, participants, Town of Fletcher and persons transporting my/our child to or from activities for any claim arising out of an injury to my/our child, except to extent covered by supplemental insurance taken out by Fletcher Recreation Park, Inc. In the event of injury tomy/our child while in Fletcher Recreation Park, Inc. activities, I/We understand that a reasonable effort will be made to contact me/us, and in the event that I/We cannot be located, I/We authorize Fletcher Recreation Park, Inc. to obtain emergency medical care for my/our child as required and I/We further agree to indemnify and hold harmless Fletcher Recreation Park, Inc. or its representatives in the use of reasonable care in the ordering of such treatment.

I/We also agree to abide by the rules and regulations as prescribed by Fletcher Recreation Park, Inc. regarding the conduct of players, coaches and spectators at Fletcher Recreation Park, Inc. activities. I/We understand that my/our child’s continued participation in Fletcher Recreation Park, Inc, activities depends upon my/our child abiding by these rules and regulations.

I/We furnish herewith a copy of the certified birth certificate of the above named. I/We certify that the above date is correct.

Please type your intials in the "I agree box" if you agree to these terms and then provide the following information.

The Name field below is for the child's name and the following email field is for the parent's email.

Again remember if you register online you will need to bring a BIRTH CERTIFICATE on evaluation date.

* Required fields
Name *
E-mail Address *
I Accept *
Please select league. Age as of July 31st 2010 *	T-Ball (ages 5-6) Pee Wee (ages 7 - 8) Minor League (ages 9 - 10) Little League (ages 11 - 12) Pony League (ages 13 - 14) Senior League* (ages 15 - 18) Girls Fast Pitch (7 - 9) Girls Fast Pitch (10 - 15)
Age of child on or before July 31 2010 *
Child's Sex (M or F) *
Address *
Fathers Name *
Father's Home Phone Number
Father's Work Number *
Mother's Name *
Mother's Home Phone Number *
Mother's Work Phone Number *
Date of Birth (mm/dd/yy) *
School Currently Attending
List any allergies. *
Shirt Size *
Pant Size *
Payment Method *

I have read and agree to the Privacy Policy *

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