Sei sulla pagina 1di 1
Olmsted Girls Fast Pitch 2010 REGISTRATION FORM (Please Print) Saturday, January 23, 2010 Olmsted Community

Olmsted Girls Fast Pitch 2010

REGISTRATION FORM

(Please Print)

Girls Fast Pitch 2010 REGISTRATION FORM (Please Print) Saturday, January 23, 2010 Olmsted Community Center 9am-11am

Saturday, January 23, 2010 Olmsted Community Center 9am-11am

Wednesday, January 27, 2010 OFHS Cafeteria 6pm-8pm

 

PLAYER INFORMATION

 

Player’s last name:

First:

Grade:

 

School attending (circle one)

   

Falls Lenox / OFIS / OFMS / OFHS / Other

Parent(s) name:

 

Birth date:

 

Age as of 1/1/2010:

   

/

/

Street address:

Home Phone #

 

Cell Phone #

 

(

)

(

)

City:

State:

ZIP Code:

 

Team Desired:

Email:

Information provided is for OGF Only.

NO Information is sold or distributed outside the organization.

Volunteer Information: We are currently looking for volunteers. Please check one if you are interested.

 

Coach

Asst. Coach

Sponsor

Fund Raising

 

Other

 

Age Group desired:

8 & Under

10 & Under

12 & Under

14 & Under

18 & Under

 

BIRTH CERTIFICATE

(2) copies are required for first time players only. If you have played for OGF in a prior year it is not needed.

Birth Certificate needed?

Yes

No

Please attached (2) Copies

MEDICAL INFORMATION

Does your child have any medical concerns, such as allergies, heart

condition, asthma, etc. that OGF or their coaches should be aware

of?

Yes

No

If YES Please explain:

 

RELEASE / CONSENT

 

The undersigned parent/guardian of the above named child does hereby give his/her consent to participate in the OGF program for the above named season; which provide supervised fast pitch activities for the child. I agree to assume all risks and hazards incidental to the conduct of the OGF sponsored activities; and I release, absolve, indemnify, and hold harmless the OGF, including its board of directors, and the organizers, sponsors, and or any of the supervisors appointed by them. I likewise release from responsibility any person transporting my child to or from any activity.

 

Patient/Guardian signature

Date

REGISTRATIONS CAN BE MAILED TO: Olmsted Girls Fast Pitch, P.O. Box 38086, Olmsted Falls, OH 44138

 

Questions? Please contact Chris Gallagher 440.478.4189

 

REGISTRATION DEADLINE:

02/15/2010

 

Fees: $125.00

(Families with (2) or more players fees will be $90.00 per player)

 

Please make checks payable to : Olmsted Girls Fast Pitch

 

For OGF use only

 

Check#

 

/

/

 

Amount Rec’d

$