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MVGSA Player Registration
MURRIETA VALLEY GIRLS SOFTBALL ASSOCIATION
P.O. BOX 175
MURRIETA, CA 92564
LEAGUE PHONE # (951)764-6650
MVGSA PLAYER REGISTRATION FORM
Player Name __________________________________________________ Phone# ___________________________
E – Mail Address ____________________________________________________
Cell # ___________________________
Address____________________________________________________
City _________________________Zip ________
Date of Birth ____________________
School _________________________________ Grade _________
Father's Name _______________________________
Mother's Name ______________________________________
Have you played for MVGSA before Yes ______ No _________
List any medical problem or prohibition player has: ____________________________________________________________
CONSENT FOR MEDICAL TREATMENT OF MINOR
As the parent or guardian of the above-named child, I hereby give consent for emergency medical care prescribed by a duly licensed doctor of medicine or doctor of dentistry. Care may be given under whatever conditions are necessary to preserve the life, limb, or well being of this child.
Insurance Carrier __________________________________________
Plan # _____________________________
Signature of Parent/Guardian _________________________________
Date ______________________________
Parental support is important - please circle how you can help
Team Coach Asst. Coach Team Mom Board Member Scorekeeper Sponsor
MVGSA Parent Conduct
• We will not tolerate any behavior on the playing field or in the stands that would hinder the spirit of sportsmanship and cooperation that we are trying to encourage.
• At no time will we permit abusive language or profanity.
• No alcoholic beverages are permitted in the vicinity of the Murrieta Parks and Recreational Facilities.
• No smoking is allowed on the athletic fields/stands or in the dugouts during practices or games.
• Conduct of the guests is the responsibility of the adult whose child participates in the league.
• MVGSA Charter Bylaws, along with MVGSA Rules and Regulations will be enforced.
Failure to comply with these rules may result in a player, parent, or guest being asked to leave the premises and could result in the forfeiture of the game. Serious or repeated offenses could result in suspension from the league.
FUND RAISING
Registration covers only a portion of the cost of league operation. Parent/child are required to participate in a fund raising drive during the season. Your support will allow us to improve the quality of our league.
Sell 5 raffle tickets at $5 a piece and you keep the $25 to reduce your registration fees.
Signature of Parent/Legal Guardian _______________________________
PARENTAL CONSENT/PARENT CONTRACT
I/we, the parents of the above-named player, hereby give my/our approval to participate in any and all MVGSA activities.
I/we assume all risks and hazards incidental to participation, including transportation to and from the activities, and
I/we do hereby waive, release, absolve, indemnify, and agree to hold harmless MVGSA, the organizers, supervisors, participants, and persons transporting my/our child to and from activities, for any claim arising out of injury to my/our child, whether the result of negligence of for any other cause, except to the extent and in the amount covered by accident or liability insurance. Once teams are selected no refunds will be made with the exception of High School players that make the High School Team.
I also certify that I have read the above Parent Contract and agree to abide by the rules set forth.
____________________________________ _________________________________________
(Print) Name of Parent/Legal Guardian Signature of Parent/Legal Guardian
_________ ________ ________ _______ ________ ________ _______
League Age Paid Date Amt. Paid Recd By Ck#/Cash Birth Cert. Treasurer
Fees:
T-ball $120*
All other divisions $150*
Full fees must be submitted or application will be rejected.
*Extra $25 added for fundraiser, sell 5 raffle tickets at $5 and you keep the $25 to reduce you sign up fees to $95 for T-ball and $125 for all the other divisions.
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