2011 PARADISE SOFTBALL SIGN-UPS
SIGN UP FEE $75.00
$40.00 Service Charge on All Returned Checks
Sign-ups after deadline will be $85.00 per child – no exceptions!
Your child will need to play in the appropriate age group according to their age as of January 1st.
Please mail a copy of their birth certificate with the application and payment.
Age groups are as follows:
8 & Under - 7-8
10 & Under – 9-10
12 & Under – 11-12
14 & Under – 13-14
18 & Under – 16-18
Players Full Name___________________________________ Date of Birth ____________ Age____ as of January 1st
Address ___________________________________________________City___________________Zip___________
Mother’s Name ________________________Cell#_______________ Home#_____________ Work#_____________
Dad’s Name __________________________ Cell# _______________ Home # ____________Work#_____________
Mom’s email____________________________________ Dad’s Email______________________________________
Has child played before? YES or NO
Which Team or Coach________________________________ Would you like the same coach? YES or NO
Pitching Experience YES or No Catcher Experience YES or No
Would you like to volunteer as a Coach, Assistant Coach, or Team Parent? – Please circle any that apply.
T-Shirt Sizes (Youth & Adult) -- Please Circle Size
T-Shirt Size YS YM YL AS AM AL
Short Size YS YM YL AS AM AL
Does your child have any medical conditions and/or drug allergies? ___________________________________
Medical Release Waiver
I/We hereby give my/our permission for my/our child as named above, to play softball in the Paradise Recreation Association (PYRA) 2010 Spring Season. I/We give my/our permission, for my/our child, named above to participate in any and all activities associated with being a part of this league for the 2010 Spring Season. In the event of my/our absence, I/We hereby give full permission to the Coach and/or Volunteers of PYRA to obtain emergency medical care from any licensed physician, hospital or medical clinic for my/our child. I/We agree to be responsible for any and all medical, doctor, and hospital charges, either personally or through my/our insurance and will hold PYRA and its Coaches and/or Volunteers harmless and free of all liability for any charges and for any claim arising out of any injury to my/our child.
Physician Name/Number:____________________________ Insurance Company and Policy Number:__________________________
Consent/Waiver Release
Having been informed of the intentions of PYRA to provide supervised softball games, I/we the parent/legal guardian of the above named player, do hereby give my/our approval to my/our child’s participation in any and all activities of the current season. I/We do assume all ricks and hazards incidental to the conduct of the activities. I/We do further hereby release, absolve, indemnify, and hold harmless PYRA, City of Paradise, the Organizers, Sponsors, Supervisors, Volunteers, and ASA Softball any and all of them. In case of injury to my/our child, I/we hereby waive all claims against PYRA, City of Paradise, the Organizers, Sponsors, Supervisors, Volunteers, and ASA Softball. I/We further agree to furnish the league official with a birth certificate of the above named child as proof of their correct date of birth.
Sponsorships
Like all youth sports organizations, Paradise Girls Softball works hard to keep registration fees as low as possible despite increasing cost of equipment, uniforms, field maintenance, umpires, etc. We depend upon support from local businesses and individuals to keep our fees from rising and possibly limiting some children’s ability to participate in the program.
If you or anyone you know might be interested in sponsoring a team by making a donation, please contact Kristy Darter at 817-205-8608 or kdarter@elitemetalfabinc.com.
I, the Parent /Guardian of the above name player do hereby certify that all the above information about the player has been filled in and is true and correct. I realize that this League is a NON-PROFIT ORGANIZATION, and is a VOLUNTARY PROGRAM intended for the benefit of the CHILDREN in our Community and Therefore, I do hereby agree to hold harmless all parties in connection with the team activities should my child become injured during regular practice and / or a game times, traveling to and from games and tournaments.
PARENT/GUARDIAN SIGNATURE___________________________________________DATE:____________________
Deadline:
Please mail registration, payment and copy of birth certificate to:
Kristy Darter, PO Box 16, Paradise, TX 76073 and must be received by 2/26/2011.
Please feel free to contact Kristy Darter with any questions.
817-205-8608 or kdarter@elitemetalfabinc.com