Name ___________________________________________
Grade_________ Age __________
Parent or Guardians name ________________________________________________________
Address _____________________________ City
___________________ Zip _______________
Phone ________________________________ Home
___________________________________
Years Experience _____________________
Position (if played before) _____________________
By signing this form, I hereby release the City of Glasgow,
the Glasgow Recreation Department and it's employees, team coaches and all
others connected with this program from all injuries, losses and damages
sustained during all practices and games and while traveling to and from
practices and games. By signing
this agreement, I/we are hereby giving the Recreation Department permission
to use photographs of participants for publicity purposes.
_______________________________________
Signature of Parent/Guardian
Date ________________________
Registration fee: $20 per player Paid
(cash) _______________ (check) _______________
Please make checks payable to the Glasgow Recreation
Department
Check here if you would be interested in coaching.
_______________Coach _______________Assist
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Circle T-shirt size: Child 10-12 Small
Medium Large Xlarge
General League information
- All games and practices will be held at American Legion Park.
- Divisions will be offered for girls age 7-15 years.