First and Last Name of Player *
Your answer
Preferred name/nickname
Your answer
Date of Birth *
Date
Age *
Your answer
Male or Female *
Complete Home Address with City and Zip *
Your answer
Physical/Medical disability: *
Your answer
Shirt Size *
By checking the below box, I understand that the uniform size that I select for my child will be the uniform size that he/she receives. If for any reason the uniform size is incorrect, it will be my responsibility to replace it. *
Required
Mother's Name *
Your answer
Mother's Cell Phone *
Your answer
Mother's Email Address *
Your answer
Mother's Work Phone
Your answer
Father's Name
Your answer
Father's Cell Phone *
Your answer
Father's Email Address *
Your answer
Father's Work Phone
Your answer
By checking the below box, I acknowledge that as the parent or guardian, I must stay at the field with my child at all times. Under no circumstances will I drop off my child and leave them without supervision. *
Required
By checking the below box I acknowledge that Walton County Parks and Recreation Department does not carry insurance for participants in programs. Being aware of this and acknowledging that participation in any activity involves a certain degree of risk or injury, I hereby waiver, release, absolve, indemnify, and agree to hold harmless the Walton County Parks & Recreation Department, their board of directors, employees, coaches, instructors, officials, and volunteers from an and all liability arising out of any injury suffered by the above said participant during this activity. I understand that the above named parties will not assume responsibility for payment of medical treatment or transportation to or from the place of treatment. Only minor first-aid will be administered when necessary. I further agree to abide by the policies and procedures set forth by the Walton County Parks & Recreation Department. *
Required
By checking the below box, I acknowledge that my child's image may be part of our promotional campaign. The Parks & Recreation Department may take and use photos of participants for publicity purposes. Photos of participants may be used in the City's Recreation Guide, website, local media and e-newsletter publications. I hereby grant the Walton County Parks & Recreation Department permission to use me, or my child's likeness and/or name in any broadcast, telecast, or print media account of this activity free of charge. *
Required
I acknowledge that to participate, a fee of $25 per participant is required. I will: *
I acknowledge that March 10 is the deadline for payment for the Spring 2020 season. *
I acknowledge that baseball play for 2020 is as follows: Saturdays, March 28, April 4, 18, 25, and May 2 at 10 - 11 am at Criswell Park 1190 Criswell Road SE, Monroe, GA 30655 and that attendance is important for my player. *
I would like a Parent's Shirt for $20 per shirt (Please contact Shannon to pay online, she will send an invoice for registration for Parent's shirt(s)):
Parent's Shirt
I would like my Parent's Shirt to say: (example: Amy's Dad, Slugger's Mom, Team Kendall)
Your answer
I will fill out another form for another participant *
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