Rock Island Girls Softball League 2024 Registration Form

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First Name *

Last Name *

Age *

Birthdate *

YYYY

School *

Parent's Name *

Parent or Legal Guardian's Phone Number *

Parent or Legal Guardian's Email *

Emergency Contact Information (Name & Phone Number)

(if different than Parent information)

Player's Phone Number (optional)

Player's Email (optional)

Address *

City *

State *

Team Played For Last Year *

Team Desired (if Requesting a Transfer OR Moving to Upper Division)

Relatives in the League (Coaches or Players)

Shirt Size *

YXL

AXL

2XL

3XL

Shirt Size

Short Size

Requested Jersey # (1st Choice) *

Requested Jersey # (2nd Choice)

Requested Jersey # (3rd Choice)

Disclaimer

I/We the parents or legal guardians of the above named candidate for a position on a Rock Island Girls Softball League Team, hereby give my/our approval to her participation including transportation to and from the activities, and I/we do hereby waive, release, absolve, indemnify, and agree to hold harmless the Rock Island Girls Softball League, the Rock Island Parks and Recreation Department, the Organizers, Sponsors, Supervisors, Participants, and Persons transporting my/our daughter to or from activities or for any claim arising out of an injury to my/our daughter.

Parent or Legal Guardian's Signature *

Player's Signature *

Date *

YYYY

Submit

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