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2010 Celina Softball Registration

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2010 Celina Softball Registration Powered By Docstoc
					                                                  CRA SOFTBALL ASSOCIATION                                                                                                         12/31/2009
         2010 Registration - Fee $85 (includes uniform, regular season games, and mid-season tournament)
                                              PLAYER INFORMATION
                                                                                                                                                  For ease of use, you can "tab"
Name:
                                                                                                                                                  through the form to enter your
Date of birth:                                    Age as of 12/31/09:                                   Years Played:                                      information
Address:
City:                                            State:                     ZIP Code:                   Select Player: Yes   No (Please circle)
Favorite Position(s):                                                                   2009 Coach:
Do you want to return to prior team:                           Short Size: (Please circle)                      Jersey Size: (Please circle)
  Yes      No (Please circle)                     YS YM YL YXL AS AM AL AXL                             YS YM YL YXL AS AM AL AXL
Physician:
                                                    Special Medical
Phone #:                                            Concerns/Needs:
                                                      PARENT/GUARDIAN INFORMATION
Parent/Guardian:
Home #:                                          Mobile #:                              E-mail:
Parent/Guardian:
Home #:                                          Mobile #:                              E-mail:
I am interested in helping with: (Please circle) Coaching*              Asst Coach*     Umpiring     Other (specify):
    *Please note that all Coaches must complete a Coaches Application
                                                              EMERGENCY CONTACT
Emergency Contact (not listed above):                                                                              Phone:
                                           IMPORTANT: PLEASE READ AND SIGN BELOW:

I, the parent/guardian of the registrant, a minor, agree that registrant and I will abide by the rules of the Celina Recreation Association
(CRA) and any organizations that are affiliated with the CRA. I recognize that there are possibilities of physical injury associated with
playing and practicing this or any sport, and in consideration of the CRA accepting the registration for its sports programs and activities
(the "Programs"), I hereby release, discharge, and/or otherwise indemnify the CRA, its affiliated organizations, their employees and
associated personnel, including the board of directors of this organization and affiliated organizations, the coaches, the owners/operators
of the fields and facilities and their employees utilized for the Programs, against all claims by or on behalf of the registrant as a result of
the registrant's participation in the Programs and/or being transported to or from the same, which transportation I hereby authorize.

As the parent or legal guardian of the above-named player, I hereby consent for emergency medical care prescribed by a duly licensed
Doctor of Medicine or Doctor of Dentistry. This care may be given under whatever conditions are necessary to preserve the life, limb, or
well-being of my dependent.
                                                                        SIGNATURES

Signature of Parent/Guardian:                                                                                      Date:
                                             Payment ($85; make checks payable to: CRA)
Payment Type:           (Please circle)             Cash                  Check                   Scholarship Requested

REFUND POLICY: - Registrations are 100% refundable until uniforms are ordered. No refunds will be allowed after that date.
Please Print Registration Form, Attach Payment and Submit to Bobcat Sports by February 12, 2010

				
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