2024 BGS-WINTER CLINIC PLAYER INFO FORM
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Email *
Today's Date *
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Player's Date of Birth *
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Player's First Name *
Player's Last Name *
Address (Street, City, State, Zip) *
List all ALLERGIES or medical issues. *
Parent/Guardian First & Last Name *
Relationship to Player *
Parent/Guardian Cell Phone *
Parent/Guardian email *
Insurance Carrier *
Insurance Policy Number *
How did you hear about our program? *
PARENT/GUARDIAN CONSENT: I give my child permission to participate in the Beacon Girls Softball Program 2022 Season. By stating YES, you are agreeing to the following:  I/We, the parent/guardian of the above mentioned minor, hereby consents authorization for the treatment for any medical emergency which might occur during participation in the Beacon Girls Softball program.You are agreeing to have player's photographs published on the Beacon Girls Softball, Inc. website, whether appearing individually or in groups, and/or in videos captured by any affiliations of the organization listed above, with the knowledge that same may be broadcasted, televised, used and reused as the discretion of the Beacon Recreation/Beacon Girls Softball League. You hereby release the Beacon Recreation/Beacon Girls Softball League, its officers, employees, agents and successors and hold them harmless from any and all claims, demands, and actions, causes of actions, suits, damages and judgments as a result of the appearance of the aforementioned child.You over the age of 18 and have read the above information. You understand the conditions of the above agreement and will be bound by its terms on your own behalf and on behalf of the aforementioned child. *
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