|
| Child's First Name
|
| Child's Last Name
|
Name Child Would Like
on Shirt
(Enter First Name or Nickname)
|
| Child's
Age (As of April 1, 2011)
|
| Child Shirt Size |
| Small |
| Medium |
| Large |
| Extra
Large |
If another Child is registered for A Division Softball:
Child's First Name
|
| Child's Last Name
|
Name Child Would Like
on Shirt (Enter First Name or Nickname)
|
| Child's
Age (As of April 1, 2011)
|
| Child Shirt Size |
| Small |
| Medium |
| Large |
| Extra
Large |
Parent's
Name |
| Address
1 |
| Address
2 |
| Home
Phone |
| Work
Phone |
| Cellphone
|
| Email |
Other
Parent's
Name (if applicable) |
| Address
1 (if different) |
| Address
2 (if different) |
| Home
Phone
(if different) |
| Work
Phone
(if different) |
| Cellphone
|
| Email |
Emergency
Name |
| Emergency
Phone |