GIRLS SOFTBALL REGISTRATION-2007 Summer Season

Please return to school office by Monday April 9, 2007

To: CURRENT 2^nd, 3^rd, 4^th, 5^th, 6^th, 7^th, and 8^th grade Girls

From: Rob Flores, St. Peter’s representative for the Kansas City Parochial Softball League (KCPSL) www.kcpsl.org

It’s softball time again!! The Kansas City Parochial Softball League is now in its FOURTH year. All games will be played at (TBD) and the season is set to run from the middle of May through the last weekend in June. The league’s web site is www.kcpsl.org (This form also available on St. Peter’s site). The full cost is $55.00 (includes a uniform (shirt and cap)). However, if you complete the form below and return it with a check made payable to St. Peter’s Athletic Program, to the office by April 2, 2007, the cost is only $50.00. If you have any questions, please call me at 816-822-2874.

____________________________________________________________________________

Participant’s Name: ___________________________________ Current Grade____

Parent/Guardian Name(s) __________________________ ____________________________

Street Address _________________________ City _____________ State ___ Zip ________

Evening PN ________________ Daytime PN ______________ E-mail __________________

Current Medications _____________________ Allergies ________________ (Use back if nec.)

In case of emergency, contact ___________________ Relationship and Phone #_____________

Physician Name: ____________________________ Physician’s Phone # _________________

Insurance Plan Policy # ____________________

Shirt Size (Please circle) Youth Medium, Youth Large, Adult Small, Adult Medium, Adult Large

I would be willing to coach: YES NO I would be willing to help coach: YES NO

Name:

Emergency Authorization: The undersigned parent(s) of the above named participant hereby authorize the coaches, assistant coaches, parents of team members acting as supervisors or vehicle drivers as agents for the undersigned to consent to emergency treatment of our minor child, the above participant, as indicated below:

In case of emergency, we authorize treatment at any hospital

Signature _______________________________________________ Date ___________________

In consideration for providing the opportunity to participate in softball, I/We hereby release and save harmless the KCPSL, the school, its employees and volunteers from any liability for any injury that my/our child may sustain while participating as a member of the team.

Signature _______________________________________________ Date ___________________