Searcy Girls Softball Registration Form

8U & 10U Tryouts Monday, March 26
12U & 14U Tryouts Tuesday, March 27

PARENTS INFO

Parents First Name:

Parents Last Name:

Address:

City:

State:
 Home Phone:

Cell Phone:

Email:

Zip:

Payment Option:

1 Player - $60 (+$5 late fee)
2 Players - $80 (+$5 late fee)
3 Players - $95 (+$5 late fee)
4 or more Players - $100 (+$5 late fee)
Total Number of Players (if greater than 4): 
There is currently a $5 late fee in affect since the deadline has passed.

Player Information

Player's First Name:

Player's Last Name:

Player Birthdate: (m/d/y)

Player Age (as of 12/31/11):

Player T-Shirt Size:

Select league based on birthdate:

Medical Conditions, Sister Playing in Same League, or other notes:

List any medical condition you child may have which you feel necessary for her coach to be aware of or any other notes you may have about sisters in other leagues, etc.