MAIL THIS IN !!
CITY OF HOT SPRINGS SPORT
RECREATION DEPT.
PO BOX 700
HOT SPRINGS 71901
WE WILL CALL AND CONFIRM
RECEIPT OF YOUR FORM.
Office Use Only
Date:
Amt. Paid:
Payment Method:
 Other  Sport
Sport Recreation
GIRLS
OR
BRING IT TO OUR OFFICE at
108
Pleasant Street .
OR
USE OUR DROP BOX at 108
Pleasant Street for an
afterhours drop off, or if
you are in a hurry.
OR
Email the form back to us
and pay over the phone.
([email protected])
501-318-0472
Age division is
determined by the
player’s age as of
January 1, 2016
For more
information go to
www.cityhs.net,
call us at 501-3180472, or email us
2016 REGISTRATION FORM
[email protected]
DEADLINE: February 26 February
FIND US ON FACEBOOK
$40.00 Per Player
SEASON WILL START LATE MARCH
$10 late fee for registrations after 2/26
(If league hasn’t reached capacity)
Please mark the appropriate category
Game Nights
6 & Under will play on Mon. & Some Thurs.
8 & Under will play on Tues. & Some Thurs.
10 & Under will play on Mon. & Some Thurs.
12 & Under will play on Thurs.
 4-6 Coach Pitch/Tee Ball (coed)  7-8 Machine Pitch
 9-10 Machine Pitch  11-12 Fastpitch
Player Name:
Age:
School enrolled in
Date of Birth:
Phone:
Returning Player:  N  Y Requested Coach’s Name:
Parent Name:
E-Mail Address:
Address:
Would you or anyone you know be interested in:
City, State, Zip:
 Being a HEAD COACH
 Being an ASSISTANT COACH
I,
agree to indemnify, defend and save harmless the City, it’s elected and appointed officials,
officers, employees, agents, and volunteers from any and all claims arising from the participation in any of the activities offered by the City.
Signature, Parent or Guardian
Date