Nelson Park Registration Form 2018 (Nelson Park Softball)

Print Nelson Park Registration Form 2018
Registration is Open until April 29, 2018 at 11:59PM. After this time no more registrations will be accepted
Registration & Contact Information
*DISCOUNTS OF ANY KIND ARE NOT VALID WITH ONLINE REGISTRATION*
  1. *If Applicable
  2. RadDatePicker
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    Month/Day/Year
  3. *Separated by a Comma
  4. Example: ###-###-####
  5. Example: ###-###-####
  6. *If Applicable
Division Information
*REGISTRATION IS ONLY VALID AFTER ONLINE PAYMENT AS BEEN PROCESSED*
  1. *Check if Applicable
  2. Required (if checked Yes for Coaching)
  3. Required (if checked Yes for Coaching)
  4. Required (if checked Yes for Coaching)
  5. Required (if checked Yes for Coaching)
  1. I hereby acknowledge and accept the risks inherent in this activity and assume responsibility for personal health, medical, dental and accident insurance coverage. I also give permission for my child’s personal information to be given to the coaches for use in emergency situations.
    Further, I do absolve the Nelson Park Softball Association Inc. and it’s Executive, Directors, Managers, coaches, assistants, volunteers, sponsor and employees thereof, of any responsibility for injury of any kind to my child or trustee. I also give permission for my child’s personal information to be released to the City of London if required.

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Printed from nelsonpark.org on Friday, April 20, 2018 at 2:06 PM