STERLINGTON SPORTS COMPLEX REGISTRATION FORM

PLAYER’S NAME:_________________________________________________________________
ADDRESS:________________________________________________________________________
BIRTH DATE:________________________SCHOOL:____________________________________
LEAGUE REGISTERING FOR:
WEEBALL (3 &4) ____ TEEBALL (5 &6) ____ Fee: $50
SOFTBALL ____7 & 8 ____9 &10 ____11 & 12 ___13 AND UP Fee: $75
BASEBALL____7 & 8_____9 & 10 ____11 & 12 ____13 & 14 Fee: $75
Complete one​: My ​SON​ will be _____years old on or before April 30, 2018. ​OR

My ​DAUGHTER ​will be _______years old on or before December 31, 2018.

UNIFORM INFORMATION (circle one for shorts and one for shirt)
SHORT SIZE: YXS, YS, YM, YL, YXL (for wee-ball, tee-ball and 7 & 8 softball only)
SHIRT SIZE: YXS, YS, YM, YL, YXL, AS, AM, AL, AXL
PARENT/GUARDIAN INFORMATION
FATHER’S NAME:________________________________________HOME PHONE:_____________________
EMAIL ADDRESS:____________________________________________________________________________
EMPLOYER:_______________________________________________CELL PHONE:_____________________
MOTHER’S NAME:_________________________________________HOME PHONE:____________________

EMPLOYER:_______________________________________________CELL PHONE:_____________________
EMAIL ADDRESS:____________________________________________________________________________
Having been informed of the Sterlington Sports Complex to provide supervised sport activities to children, I/We the parents of the above named
candidate do hereby give my/our approval of his/her participation in any activities during the current season. I/We do assume the entire risks and
hazards incidental to the conduct of the activities, transportation to and from activities, and I/We do further hereby release, absolve, indemnify, and hold
harmless Sterlington Sports Complex, the organizers, sponsors and supervisors, any or all of them. I/We likewise release from responsibility any person
transporting my/our child to or from the activities. We are in a position to furnish upon request by League Officials, a certified copy of the birth certificate
of the above named candidate​.
______________________________________________________________________ _________________________________________
Parent/Guardian Signature Date

Does the child have any health issues that restrict him/her from any activities? YES / NO
**SSC may request a medical release before child can participate if YES is circled.**
TRY OUT DATES FOR AGES 7 AND UP WILL BE HELD AT THE SSC ON
SUNDAY, MARCH 4 AT 2PM
MONDAY, MARCH 5 AT 6PM
YOU MUST ATTEND ONE OF THESE TRYOUTS

LAST DAY TO REGISTER WILL BE MARCH 5, 2018 FOR BASEBALL & SOFTBALL
LAST DAY TO REGISTER WILL BE MARCH 17, 2018 FOR WEE-BALL & TEE-BALL

MAKE CHECKS PAYABLE TO SSC

FORMS CAN BE DROPPED OFF AT D & H SPORTS-STERLINGTON, STERLINGTON TOWN HALL OR MAILED TO
SSC/TOWN OF STERLINGTON, 503 HIGHWAY 2, STERLINGTON, LA 71280

FOR OFFICE USE ONLY: Total Received: $_____________Cash or Check #_________Receipt #_________