GREENE COUNTY RECREATION
ALL SPORTS REGISTRATION FORM
SPORT:
NAME:______________________________________ AGE:______
DATE OF BIRTH:____________________ GENDER: ____________
SHIRT SIZE: ______________________________
PANT SIZES FOR SOFTBALL & TACKLE FOOTBALL ONLY
PANT SIZE: _______________________________
PARENTS NAME (Mother) _________________________work#______________
(Father)__________________________work#______________
HOME NUMBER________________ CELL #_________________________
MAILING ADDRESS (NO PO BOX)
___________________________________________________________________
We the undersigned parents (or guardians) of the above child, who is to participate in the
GCRD Sports League, hereby give our approval to their participation in any and all
activities of the GCRD Sports League during the current season. We assume all risks and
hazards incidental to the conduct of the activities and transportation to and from
activities. We do further release, absolve, indemnify and hold harmless the Greene
County Recreation Department, the organizers, sponsors and supervisors from any and all
injury, loss or damages to the above child arising from the activities of the GCRD Sports
League. We will furnish a certified birth certificate so a copy can be made to keep on file
at the Recreation Department.
We the undersigned parents (or guardians) of the above child, take full responsibility for
the physical condition of the said child before the season begins. If you have any doubt
concerning your child's condition then you should make certain that they receive a
complete physical before they start playing.
SIGNED__________________________________DATE______________
MUST BE SIGNED BY PARENT/GUARDIAN
