CITY OF POTEAU RECREATION DEPARTMENT

Green Country Girls Fast-Pitch Softball League

2012 Registration Form

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 ( )__________-_____________ Work 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 “To Your Coach ”)

Registration deadline: Sunday, April 8, 2012

IMPORTANT INFORMATION:

Coaches meeting: Sunday, April 8, 2012, 2:00 P.M. at the PHS Gym. Bring forms and all money to this meeting. All coaches please contact Billy Bond at 647-1939 or via e-mail at parcball@windstream.net.