CITY OF POTEAU RECREATION DEPARTMENT
AGE GROUP—PLEASE CHECK ONE
_____Coach
Pitch (8 & under)
Softball (14 & under)_____
_____Softball
(10 & under)
Softball (18 & under)_____
_____Softball (12 & under)
If Playing in two age groups check all that apply. Cost is $50.00
Player
name________________________________________
Date of Birth ______/______/_______
Address_________________________________________ City____________________ State_____
Home phone ( )__________-_____________ Cell phone ( )__________-_____________
Age___________________ Grade_____________________
# of
years played________________
Position(s) played________________________________
Registered in Green Country
League last year? YES NO
If yes, which age group?__________________
Team manager last year________________________
I
DESIRE AND CONSENT TO MY CHILD PARTICIPATING IN THE GREEN COUNTRY GIRLS
FAST-PITCH SOFTBALL LEAGUE AND ENCLOSED IS $35.00 TO COVER COSTS OF ACCIDENT
INSURANCE AND LEAGUE FEES.
Parent’s
signature_________________________________________Date________/________/__________
Registration fee: $35.00 or $50.00 playing in two age groups
(make checks payable to “Poteau Summer Youth Program”)
Registration deadline: Sunday, April 11, 2010
IMPORTANT
INFORMATION:
Coaches meeting: Sunday, April 11, 2010, 2:00 P.M. at the PHS
Gym. Bring forms and all money to this meeting. All coaches please contact
Billy Bond at 647-4842 or via e-mail at parcball@windstream.net.