TALLEYVILLE GIRLS SOFTBALL LEAGUE

PLAYER REGISTRATION FORM

Daughter’s age as of Jan 1^st ___________

Signing up for (circle one) Pony JR1 JR2 SR

Please return completed form and payment to:

(Make checks payable to TGSL)

Talleyville Girls Softball League, Inc.

PO Box 7008

Wilmington, DE 19803

Last Name: __________________ First Name: ___________________ M.I.: ________

Street:__________________________________________________________________

City: _____________________ State: ________________________ Zip:_________

Phone: _______________________ Birthdate: ______________________

Grade: _________________ School: _________________________________________

Father’s Last Name: _________________ First Name: _______________Phone:___________

Father’s Occupation: _______________________ E-mail: _____________________________

Father will help with: Team ___ League ___ Umpire ___ How? __________________

Mother’s Last Name: _________________ First Name: _______________Phone:___________

Mother’s Occupation: _______________________ E-mail: _____________________________

Mother will help with: Team ___ League ___ Umpire ___ How? _________________

Emergency: Name: ________________ Phone: __________ Relation: _________________

Doctor: __________________________ Phone: ____________ Note: _________________

Amount Paid: ________ _ Method:_________________

Amount Due: $70.00 (Ponies)

$90.00 (Jr1, Jr2, SNR) $110.00 if after February 23^rd

$200.00 (Travel Team) ($100.00 installment due by January 1^st)

PLEASE SIGN BELOW TO ALLOW YOUR DAUGHTER TO PLAY SOFTBALL

SIGNATURE ______________________________________________________________________