Olmsted Girls Fast Pitch 2010

REGISTRATION FORM
(Please Print)

Saturday, January 23, 2010 Olmsted Community Center 9am-11am Wednesday, January 27, 2010 OFHS Cafeteria 6pm-8pm

PLAYER INFORMATION
Player’s last name: First: Grade: School attending (circle one)

Falls Lenox / OFIS / OFMS / OFHS / Other ______

Parent(s) name: Birth date: Age as of 1/1/2010:

/ /

Street address: Home Phone # Cell Phone #

( ) ( )

City: State: ZIP Code:

Team Desired: Email: Information provided is for OGF Only.

NO Information is sold or distributed outside the organization.

Volunteer Information: We are currently looking for volunteers. Please check one if you are interested.

 Coach  Asst. Coach  Sponsor  Fund Raising  Other

Age Group desired:  8 & Under  10 & Under  12 & Under  14 & Under  18 & Under

BIRTH CERTIFICATE
(2) copies are required for first time players only. If you have played for OGF in a prior year it is not needed.

Birth Certificate needed?  Yes  No Please attached (2) Copies

MEDICAL INFORMATION
Does your child have any medical concerns, such as allergies, heart
 Yes  No
condition, asthma, etc. that OGF or their coaches should be aware of?
If YES Please explain:

RELEASE / CONSENT
The undersigned parent/guardian of the above named child does hereby give his/her consent to participate in the OGF program for the above named
season; which provide supervised fast pitch activities for the child. I agree to assume all risks and hazards incidental to the conduct of the OGF
sponsored activities; and I release, absolve, indemnify, and hold harmless the OGF, including its board of directors, and the organizers, sponsors, and
or any of the supervisors appointed by them. I likewise release from responsibility any person transporting my child to or from any activity.

Patient/Guardian signature Date

REGISTRATIONS CAN BE MAILED TO: Olmsted Girls Fast Pitch, P.O. Box 38086, Olmsted Falls, OH 44138

Questions? Please contact Chris Gallagher 440.478.4189 REGISTRATION DEADLINE: 02/15/2010

Fees: $125.00 (Families with (2) or more players fees will be $90.00 per player)

Please make checks payable to : Olmsted Girls Fast Pitch

For OGF use only

Check# / / Amount Rec’d $