2008 NEEDHAM GIRLS SOFTBALL REGISTRATION

Name   __________________  Mom/Dad  __________________________

Address   ____________________  Telephone  _____________________

Birth Date _________ School _____________  Grade_____ Your 2007 Team ___________________

Email addresses (will be your primary contact - print clearly)  ____________________________  

Emergency Contact  ________________  Phone  ________________ 

Sister in the league? (name) ________________ Other Spring Evening Activities __________________ 

T-Shirt	Sweatpants	Sweatshirt (8th Grade Only)
Adult  S   M   L   XL (circle one)	Child: M L Adult:  XS S M L XL (circle one)	Adult S  M  L   XL (circle one)

 6th, 7th, and 8th Grade: Do you want to join our Advanced Softball Program?____________

Depending on interest and coaching this program will meet once a week on the weekend (time TBD) and will concentrate on advanced softball skills to prepare you to play at the High School level and in Summer Leagues. There may be a nominal cost to cover expenses of the program – not to exceed $50. We will concentrate on skills and game situations.

INJURY WAIVER AND INDEMNITY

In consideration of the acceptance of this registration, I hereby release the Needham Girls Softball program and any and all of its volunteer, coaches, and umpires from any and all claims which may arise from injuries to my daughter in the course of her participation in the Needham Girls Softball program. I agree to indemnify, defend, and hold harmless the Needham Girls Softball program and any of its volunteer, coaches, and umpires from and against any and all claims which may be brought by or on behalf of my daughter for personal injuries arising out of her participation in the Needham Girls Softball program. I hereby certify that my daughter is in good physical health, and there are no health related reasons why she should not participate in the Needham Girls Softball program. Also, it is my understanding that medical insurance coverage is NOT provided by the Needham Girls Softball.

Signed:   _________________________  Date: ________________ 

       (Signature of parent or legal guardian)

Check # _____________   Amount  ___________

Please make check out to: NEEDHAM GIRLS SOFTBALL for $100.00

DO YOU WANT TO COACH? PLEASE VOLUNTEER TO HELP - SIGN UP BELOW

Coach __________  Assistant Coach ____________ Scorekeeper _______ Phone Calls _________

Your Experience/Training _____________________________  Name and Phone  __________________________

Mail form and check to: Needham Girls Softball, C/O Laurie DiBella 76 Powers St. Needham, MA 02492 by March 1st, 2008 (We cannot guaranty a space if received after March 1st).