Sports
Summer Softball/Baseball
(Entire Month of June with games during July Greater Rolfe Days)
1st-2nd grade Tee Ball
3rd-4th grade Coach Pitch
5th-6th grade Little League
Any questions contact Shannon Peters 848-3939. Every participant will have to have a medical form & their registration fee turned in before they are allowed to play.
It is important to understand that the medical form will need to be returned before the participant can join into practices.
Parents are encouraged to stay during practices and assist the coaches if they need extra help. Parental involvement is especially helpful with the younger players. Also for the Kid's Rec program to continue, parental involvement is a must. Meeting are as needed. If more parents don't get involved, this program may have to be discontinued.
Registration Form
Name of participant
Grade
Age
Male/Female
Address
City
Phone Number
Parent/Guardian
Signature of Parent/Guardian
Parental Instruction Concerning
Medical Treatment
Athlete's name
Date of Birth
Parent/Guardian Name
Address
Telephone: Home
Work
Please indicate another person to contact in the event
of an accident & we are unable to reach you.
Name
Telephone
Is your child presently on medication? Yes or NO
If yes, please list medication(s)
Drug Sensitivities
Other Allergies
Please read the alternative statements below and sign
under the one that you choose. DO NOT SIGN THEM BOTH!
1. If my child needs medical attention, it is my wish
that I be contacted before any medical procedures are done on my child,
unless immediate treatment is necessary to save my child's life or to
prevent permanent injury.
Date
Signature of Parent/Guardian
2. If my child needs medical treatment while participating,
it is my wish that the treatment be begun while efforts are being made
to contact me. So that treatment is not delayed, I consent to medical
procedures that the physician believes needed, on the understatnding that
efforts will continues to be made to contact me. I accept responsibility
for all cost related to such treatment.
Date
Signature of Parent/Guardian
Created on 08/05/2004 11:48 AM by admin
Updated on 10/28/2009 08:31 AM by AngieSchneider
