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Midlothian Girls Softball Association

Online Player Registration/Release Form (for paying online)

 

Player Information
First Name:
Last Name:
MI:
Contact Phone #1:  
Contact Phone #2:
Address:
City:
State:
Zip Code:
Player lives:             the city limits of Midlothian, TX
Number of seasons played:
Last Division:
Last Team:
Position:
Last Coach:
Last season played:
Year:
Date of Birth:  
Age on January 1st current year:
Return to same team?           
Enter into Draft?     


Parent/Guardian Information

Father/Guardian First Name:
Father/Guardian Last Name:
Father/Guardian Bus.Phone:
Father/Guardian Email:
Mother/Guardian First Name:
Mother/Guardian Last Name:
Mother/Guardian Bus. Phone:
Mother/Guardian Email:
   
Interested in                  
 

 

Emergency Contact and Medical Information

Emergency Contact:
Emergency Contact Phone:
   
   
Allergies:
Medical Information/Prohibition:



Agreement:
We the Parents/Legal Guardians of the registrant agree that we and the registrant will abide by the rules of MGSA, its affiliated organizations and sponsors. Recognizing the possibility of physical injury associated with softball and in consideration for the MGSA accepting the registrant for its softball program and activities. I hereby release ,discharge and otherwise indemnify the MGSA, its affiliated organizations and sponsors, their sponsors, their employees and associated personnel, including the owners of the fields and facilities utilized for the programs, against any claim by or on behalf of the registrant as a result of the registrants participation in the programs and/or being transported to or from the same, which transportation I hereby authorize.

(Parent/Guardian) Type your name below and enter date to represent signature agreeing to above statement:  
Name:     Date:
          


Consent for Medical Treatment (Minor)
As the Parent or Legal Guardian of the above named Player, I hereby give 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 dependant.

(Parent/Guardian) Type your name below and enter date to represent signature agreeing to the Consent for Medical Treatment of a Minor:
Name:     Date:
     


Please read and agree to the following documents by checking the boxes below.


I have read and agree to the Parents-Guardians Code of Conduct

I have read and agree to the Coaches Code of Conduct.