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2. GREENBRIER GIRLS SOFTBALL REGISTRATION

   $100.00 INDIVIDUAL 

   
   

4. Players First Name
5. Last Name
7. Address
9. City
10. State
11. Zip Code
13. Phone Number
14. Birthday
    Birthday
15. Age
17. Age Group Child Will Be Playing In
    -- Select One --4-67-89-1011-1213-1415-1617-19
18. Jersey Size
    -- Select One --YSYMYLASAMALAXLAXXL
20. Dad's First Name
21. Last Name
23. Home Number
24. Cell Number
25. Work Number
27. Mom's First Name
28. Last Name
30. Home Number
31. Cell Number
32. Work Number
34. Emergency Contact
35. Phone Number
37. Would You Be Interested In Coaching
    -- Select One --YesNo

38. If yes, please fill out a background check form if you didn't during spring ball.

40. REFUNDS WILL NOT BE ISSUED ONCE UNIFORMS HAVE BEEN ORDERED.

    REGISTRATION IS NOT COMPLETE UNTIL A PARENT OR GUARDIAN HAS SIGNED AND FEE IS PAID.

42. Electronic Signature Agreement

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
44. Electronic Signature
45. Date
    Date
Leave This Blank:


47. 1. Receive an email copy of this form.
48. Email address

    This field is not part of the form submission.

49. Submit

* indicates a required field