Amount Paid__________
Check No.__________
SPRINGFIELD AREA SOFTBALL ASSOCIATION
2017 SUMMER T-BALL SIGN UP (AGES 4 – Kindergarten)
*The Springfield Area Softball Association organizes a co-ed t-ball league that runs for 6 weeks during summer
break. Players are taught the fundamentals of softball and baseball. Players must be 4 by June 1st, 2017 thru
those currently in Kindergarten.
*Each team will have practices – dates and times to be determined by the coaches – as well as play games against
the other Springfield t-ball teams. The day, times, and locations of games will be decided based on the schedule
of other teams and the number of t-ball teams.
*The 2017 Softball Fundraising Breakfast and Sign Up will be Sunday, February 26th, 2017 from 8:30 a.m.
to 12:30 p.m. at the Springfield American Legion. We would like to collect all fees and sign up forms at
this time. If you are unable to attend you may turn in your paperwork to Amber Vogel (507-227-9123),
Katie Wilhelmi (507-220-0240), or Shawna Jacobs (641-990-2833). The fee is $30.00 which includes a tshirt for your child. Sign up forms and fees are due March 3rd. Please respect this deadline so teams
can be organized and t-shirts ordered. Registrations received after March 3rd may not receive a team
t-shirt.
*Forms and other information will be available on the Springfield Area Softball Association Facebook page.
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Player’s Name _________________________ DOB _______________ Grade: Pre-K or Kindergarten
Male _____ Female _____
Right _____ or Left _____ Handed?
Mom’s Name ___________________________________
Mom’s # ___________________________________
Dad’s Name ____________________________________
Dad’s # ____________________________________
Address ___________________________________________________________________________________________________
E-mail Address_____________________________________________________________________________________________
Preferred Contact # or Email ______________________________________________________________________________
Emergency Contact Name & Phone Number (if parents can’t be reached)
PLEASE CIRCLE T-SHIRT SIZE
Youth: S (6-8)
M (10-12)
L (14-16) Adult:
S
M
L
I volunteer to: Coach _______________________ Assistant Coach _______________________ T-Shirt Size _____
Background checks will be completed on anyone 18 years and older. Anyone with a felony is unable to coach.
*Please read, complete and return the back of this form.*
SPRINGFIELD AREA SOFTBALL ASSOCIATION
PARTICIPATION AGREEMENT
I am the parent and/or legal guardian of ________________________________ and I hereby give him/her permission to participate in the
activities and events of the Springfield Area Softball Association. I understand and agree to all of the terms and conditions in this
agreement in consideration for his/her acceptance for participation in the activities and events of the Springfield Area Softball Association.
Activities and Events: Springfield Area Softball Association:
•
•
•
•
•
Organizes girls softball teams for play in area softball leagues and for play in softball tournaments sponsored by other
communities and organizations;
Organizes co-ed t-ball league;
Provides bats, helmets, balls, catcher's gear, face masks, and arranges for and arranges instruction for team and individual
practices and skills improvement;
Sponsors and organizes softball tournaments; and
Organizes and implements fundraisers.
Springfield Area Softball Association takes no responsibility for transportation of participants to, from, or during activities and events. All
transportation of participants is solely and absolutely the responsibility of the participant's parents and/or legal guardians.
Assumption of Risk, Waiver and Release: I am fully aware and understand that participation in the activities and events of the Springfield
Area Softball Association involves certain anticipated and unanticipated risks and dangers of potential physical and non-physical injury or
damages. Knowing and understanding these risks, dangers, and potential injuries or damages, I, as parent and/or legal guardian and for
myself, my family members, and our heirs, successors, and assigns, hereby:
Assume any and all risks, danger, and any and all injury or damage, which may result from participation in the activities and
events of the Springfield Area Softball Association;
Release, remise and discharge the Springfield Area Softball Association, Southern Star League, the area leagues the T-Ball,
Rookies and ASA participate in and all persons or entities supervising, assisting, volunteering, or otherwise involved in the
activities and events of the Springfield Area Softball Association from any and all liability for injury or damage, whether to the
person or property that may result from participation in the activities and events of the Springfield Area Softball Association,
including all risks and damages, foreseen or unforeseen, whether caused by negligence or otherwise;
Waive any and all actions, causes of action, claims, demands, damages, costs, loss of services, expenses, or compensation, on
account of or in any way arising out of any and all injury or damage, whether to person or property, resulting from participation in
the activities and events of the Springfield Area Softball Association;
Agree to indemnify and hold harmless the Springfield Area Softball Association, Southern Star League, the area leagues the TBall, Rookies and ASA participate in and all persons or entities supervising, assisting, volunteering, or otherwise involved in the
activities and events of the Springfield Area Softball Association from any claims made as a result of any and all injuries or
damages to my child or our property.
Authorize the use of my child’s picture in promotional materials such as brochures, newspaper articles, Facebook and the
Springfield Area Softball Association website.
Authorization: If my child requires emergency care while participating in the activities or events
of the Springfield Area Softball Association and I am unavailable I authorize emergency care
decisions be made on my behalf and to give any medical provider the information listed below:
Medical insurance Company/Carrier/Plan Name _________________________________________________________________
Policy/Group Number ______________________________________________________________________________________
Acknowledgment. I hereby acknowledge that I have read this agreement carefully and know that it contains binding terms and conditions
including a release, a waiver, an indemnity clause, and outlines the responsibilities for participation in the activities and events of the
Springfield Area Softball Association. I fully understand all terms and conditions and I freely and voluntarily sign this participation
agreement in order to allow my child to participate.
Dated: _________________________________
___________________________________________________
Signature of Parent or Legal Guardian