2014 RGSA Player Registration Form


League Grades Registration Fee $10 Late Fee After 02/28/2014
Peanut PreK - 1st Grades $ $
Minor 2nd - 4th Grades $75.00 $85.00
Junior 5th - 7th Grades $75.00 $85.00
Senior 8th - 12th Grades $75.00 $85.00
NO REGISTRATIONS WILL BE ACCEPTED AFTER MARCH 15, 2014
Registration fees include: Games, Shirts and an Individual and Team Picture

Player Information


 
Last Name: First Name:
Address: Phone:  -  - 
City: Birth Date:     
State: Grade:
Zip Code: Jersey Size:
League:  
 
Number of Years Playing Recreational Softball:
Number of Years Playing Competitive Softball:



Father's/Guardian Information


Father's Last Name:
Father's First Name:
Father's Phone:  -  - 
Father's Email Address:

Mother's/Guardian Information


Mother's Last Name:
Mother's First Name:
Mother's Phone:  -  - 
Mother's Email Address:

Comments:   



Father's Volunteer Information


Would you like to be a Head Coach?  
Would you like to be an Assistant Coach?  
Would you like to be a Team Parent?  
Would you like to be a Practice Helper?  
Would you like to be a Score Keeper?  
Can you help with Player Assessment?  
Can you help with Concession Stand?  

Mother's Volunteer Information


Would you like to be a Head Coach?  
Would you like to be an Assistant Coach?  
Would you like to be a Team Parent?  
Would you like to be a Practice Helper?  
Would you like to be a Score Keeper?  
Can you help with Player Assessment?  
Can you help with Concession Stand?  



Sponsor's Information


 
If you or someone you know owns a business and would like to be a R.G.S.A. sponsor, please complete the information:

Sponsor: Contact Name:
Phone:  -  -  Email Address:



Parent Code of Conduct
I understand as a parent/guardian of a youth softball player, I will conduct myself in a respectful, orderly fashion at all times. I understand foul language will not be tolerated. I will offer my support in a positive manner to my child, her coach and the other team members. It is the responsibility of the coach to have discussions with umpires regarding any disputes. Parent/umpire disputes will NOT BE TOLERATED or will parent/coach disputes.

Liability Agreement
I/we, the parent(s)/guardian(s) of the above named candidate for a position on a League Softball team, hereby give my/our approval to her participation in any and all League activities. I/We assume all risks and hazards incidental to such participation including transportation to and from the activities; and I/We do hereby waive, release, absolve, indemnify, and agree to hold harmless the City of Ralston, the local League, the organizers, sponsors, supervisors, participants, and persons transporting my/our daughter to or from activities, for any claim arising out of an injury to my/our daughter. I/We the parent(s)/guardian(s) of the above named candidate confirm physical fitness to play softball. LB 123 Statement to Parent or Guardian: "COACHES AND THEIR ASSISTANTS,UMPIRES,EQUIPMENT MANAGER, BOARD MEMBERS, VOLUNTEERS OR ANYONE WHO PREPARES ANY PLAYING FIELD SHALL NOT BE LIABLE FOR THE INJURY OR DEATH OF ANY PARTICIPANT IN RALSTON GIRLS' SOFTBALL ASSOCIATION, INC., ACTIVITIES WHICH RESULTS FROM THE NEGLIGENCE OF ANY OF THE ABOVE LISTED INDIVIDUALS."

Father's Signature:   Date:   I accept terms:  
Mother's Signature:   Date:   I accept terms:  

* * NOTE * *  Your child will officially be registered when payment is received.



Method of Payment


      
      
Payment Type:  

Make checks payable to Ralston Girls Softball Association and mail to:

Ralston Girls Softball Association
PO Box 27413
Ralston, NE 68127-0413