2011 SYA SOFTBALL REGISTRATION

GIRLS ONLY
$50.00 PER PLAYER
REGISTRATION DEADLINE APRIL 20, 2011

COACH PITCH GRADES 1-2         FAST PITCH GRADES 3-8

NAME _____________________________________ AGE _________
ADDRESS __________________________________ BIRTHDATE _______________________________
CITY ______________________________________ SCHOOL NAME ____________________________
STATE ____________________________________
 
CURRENT GRADE __________________________
(APRIL 1, 2011)
ZIP CODE __________________________________ PHONE __________________________________

CIRCLE THE DIVISION YOU WILL BE PLAYING IN:

COACH PITCH (1-2)
GIRLS ONLY GRADES 1 & 2

 

MODIFIED FAST PITCH
GIRLS ONLY GRADES 3 & 4

FAST PITCH (5)
GIRLS ONLY GRADE 5

FAST PITCH (6)
GIRLS ONLY GRADE 6

FAST PITCH (7-8)
GIRLS ONLY GRADES 7 & 8

DID YOU PLAY ON A SYA TEAM LAST YEAR? IF SO WHICH TEAM __________________________________

DO YOU WANT TO PLAY ON THE SAME TEAM? YES OR NO ______________________________________

DO YOU HAVE A SIBLING PLAYING IN THE SAME DIVISION? ______________________________________

WILL YOUR PARENT BE A COACH OR AN ASSIST COACH? ______________________________________

MY CHILD HAS MY PERMISSION TO PARTICIPATE IN THE ACTIVITIES INDICATED ON THIS FORM. SHE IS IN GOOD PHYSICAL CONDITION AND HAS NOT HAD ANY SERIOUS ILLNESS OR OPERATION SINCE HER LAST HEALTH EXAMINATION. I AGREE TO COOPERATE WITH ALL THE REGULATIONS OF SYA. I AGREE TO HOLD SIOUXLAND YOUTH ATHLETICS AND ITS AGENTS HARMLESS IN THE EVENT OF INJURY SUSTAINED BY MY CHILD. I GRANT MY PERMISSION FOR MY CHILD TO BE PHOTOGRAPHED AND PICTURES RELEASED FOR SYA PURPOSES.

PARENT/GUARDIAN SIGNATURE ___________________________________ DATE ____________________

IF YOU HAVE ANY QUESTIONS OR NEED MORE INFORMATION CALL 712-252-5192.

MAIL ALL FORMS AND FEES TO:

 

SYA
PO BOX 115
SIOUX CITY, IA 51102

This material is neither endorsed by nor sponsored by the Sioux City Community School District nor Bishop Heelan Catholic Schools.
 


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