 | Fee: $35.00 per
participant. Late Fee: $50.00 per participant NO
REFUNDS
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| Register at the
Recreation Office located at the PAL Building, 1250 Maple Ave, South
Plainfield
Monday thru Friday, 8:30 am to 5:00 pm.
The Recreation Office will also be open 6:00 pm to 8:00 pm on the first
and third Monday of the month
OR
MAIL this form with a copy of the participant's birth certificate* and proof
of residency*
along with a check made payable to "SPREC"
For more information call 908-226-7714.
*Birth certificate required to register. Proof of residency is
required for new participants in Recreation Programs*
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Child's
Name:_________________________________Date of Birth_________________
Address:_____________________________________Phone #______________________
School Attending:_________________________Age(as of 10/1/05)___________________
League played in 2005_________Never played___Position played__________________
Please circle league C(8-9)
B(10-11) A(12-13)
Please circle T-shirt size: Youth Lg. Adult Sm. Adult
Med. Adult Lg. Adult X-Lg.
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| PARENTS:
please read before signing
I understand that physical risks are involved in my
daughter's/ward's participation in
the Ponytail Softball Program. I understand that these risks may range from
minor
bruises to life threatening injuries. I've made my daughter/ward aware
of these risks
and by allowing her to participate in Ponytail Softball hereby affirm that I fully
assume
responsibility for these risks. My signature below confirms my agreement with
these
statements.
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| Parent/Guardian
Signature:__________________________________Date:____________
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PARENTS: IF YOU WISH TO COACH PLEASE FILL OUT THIS PORTION
YES, I WANT TO COACH_____________NO, I CANNOT COACH:___________
Name__________________________________________Phone (h)___________________
Address:________________________________________Phone (w)__________________
Please describe coaching experience (if any) on back of registration form.
All coaches and assistants will be fingerprinted and must attend a safety
clinic and a coaches instructional clinic
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For your convenience
PRINT OUT AND USE
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