New Melle Sports & Recreation

Baseball / Softball

Player Registration Form

Baseball ______

Softball _______

Umpire _______

Parent/Guardian _________________________________ Phone No. __________________

Address  _______________________________________ Zip Code ___________________

Occupations _________________________ School / School District __________________ 

Email _______________________________
Please check one if interested:

Manager _________ Asst. Coach _________ Umpire _________

Name _____________________ Birth date _________  Age _____    M / F     Shirt  Size ______

Name _____________________ Birth date _________  Age _____    M / F     Shirt  Size ______

Name _____________________ Birth date _________  Age _____    M / F     Shirt  Size ______

Name _____________________ Birth date _________  Age _____    M / F     Shirt  Size ______

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As the responsible parent/guardian: I understand that New Melle Sports & Recreation does not provide primary insurance. I do hereby assume full responsibility for and on the behalf of the above named minors/players in the event my child is injured participating in any program sponsored by New Melle Sports & Recreation; I agree to release NMSR/ Coaches/Board and coordinators from all liability. I acknowledge that I have read, understand and will comply with the preceding.

Parent/Guardian signature __________________________________ Date __________________

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Fees: Make Checks Payable to: (NMSR) New Melle Sports & Recreation

            First child                   $85               

            Two children              $160                                                  

            3 or more                   $225  

            Late fee: $10

Approved by __________________________________ Date ____________

Amount Paid ____________ Check No. ____________ Cash ____________