YOUTH SPORTS REGISTRATION FORM
BASEBALL AND SOFTBALL
Name of Player
Date of Birth
Parent/ Guardian Information
Name of Parent or Guardian
If you would like your child to be assigned to a coach, please fill out this section. Please note, requesting a coach does not
guarantee placement on the coach’s team.
MAIL COMPELTED FORM WITH REGISTRATION FEE to:
City of Council Bluffs, Parks and Recreation Department, 209 pearl Street,Council Bluffs, IA 51503
or fill out this form
If you are interested in your child playing up one age group, then please contact us at 712-890-5291 to discuss prior to registration.
I hereby give my full permission to my (son/da
ughter) to play in the Council Bluffs Parks and Recreation Department's League. I agree to assume full
n case of accident or injury while (he/she) is playing, traveling to or from the scheduled area, or representing (his/her) team in any
manner, and do further hereby release and hold forever harmless the City of Council Bluffs, its agents and employees, from any liability for any
personal injuries, including death or property damage, which may be incurred by my child while playing, traveling to or from the scheduled area, or
representing the team in any manner, including but not limited to any claim alleging that the injury or damage was caused by defective equipment
owned or furnished by the City of Council Bluffs, by defects or obstructions on real property owned by the City of Council Bluffs, or by negligence in
the supervision of my child or others. It is the responsibility of each parent or guardian to check their child's insurance for athletic injuries.
** For Tee Ball and Basketball registration - Registration Fee is $35.00 if player has a t-shirt from a previous season.
Baseball/ Softball Leagues
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