NEW!!!
NEW!!!
CONCORDIA RECREATION
2017 GIRLS Softball
Players age 13 through 15 are invited to participate in the Concordia Recreation GIRLS
Softball
Players may not turn 15 by July 1.
All participants must register at City Hall no later than April 14th.
---------THERE IS A $10.00 REGISTRATION FEE ------NO REFUNDS-------A late fee of $10.00 will be charged to register after deadline
Returning/First year players: team placement will be determined with coaches input at
coaches meeting.
For more information please contact Recreation Director Chris Curtis at 243-2670
CONCORDIA RECREATION DEPARTMENT
701 WASHINGTON STREET, P.O. BOX 603
CONCORDIA, KS. 66901
No guarantee of returning players to be on their former team.
TEAM PREFERENCE:
NAME:
ADDRESS:
HOME PHONE:
AGE
ON 8-1-17
CITY
WORK PHONE:
DOB:
STATE
ZIP
CELLPHONE:
EMAIL:___________________________
SPECIAL MEDICAL CONSIDERATION:
Waiver:
IN CONSIDERATION OF YOUR ACCEPTING THIS ENTRY, I HEREBY, FOR MYSELF, MY CHILD, MY HEIRS,
EXECUTORS AND ADMINISTRATORS, WAIVER AND RELEASE FROM ALL CLAIMS, DEMANDS, ACTIONS, JUDGEMENTS, AND
EXECUTION I OR MY CHILD MAY HAVE A GAINST THE CONCORDIA PARKS AND RECREATION DEPARTMEN, CITY OF
CONCORDIA, AND ITS REPRESENTATIVES, SUCCESSORS AND ASSIGNS FOR ANY AND ALL INJURIES SUFFERED BY MYSLEF
OR MY CHILD AT ANY ACTIVITES BY THESE GROUPS. (NOTE: PARENT OR LEGAL GUARDIAN MUST SIGN FOR ANY
CHILD ENTERING A PROGRAM.)
Signature:
Date: