Delta Girls Softball Association, Inc

Delta Girls Softball Association, Inc.

2018 League Registration

Instructions: Use one form for each girl registering. Complete all sections, both front and back, and sign. Failure to register by March 16th will result in applicant being placed into the draft. If registering by mail(it must be post marked by April 13th, NO EXCEPTIONS), send the completed, signed registration form(s), with full payment and sent to:

DGSA Registration

P.O. Box 297

Muncie, IN 47308

Part A: Participant Information (P l e a s e P r i n t)

Name: ______School: ______

(Last) (First) (Initial)

Street Address: ______Phone: ______

City: ______IN Zip: ______Shirt size: ______

Date of Birth: ______Age as of 1/1/2018: ______

Did you play DGSA softball last year? No ( ) Yes ( ) Team or Coach Name: ______

I wish to play in the following League: Coaches Pitch ( ) Rookie ( ) Minor ( )
4-7 7-11 11-16

Pick One: ( ) I’m new to DGSA softball.

( ) I’m not moving up and I want to be on the same team as last year.(Must be received by 3/16/18)

( ) I’m not moving up and I want to be on a new team, please enter me in the draft.

( ) Due to my age, I must move up, enter me in the draft.

( ) I must move up, please place me on the same team as my sister:(Must be received by 3/16/18)

Sister’s Name: ______Team or Coach Name:

( ) I am a Coaches Pitch player and would like to play on the same team as:

(Coaches Pitch players only)

Skills Assessment dates for Open Draft are March 20th and 21st: RK 6:15, MN 7:00 @ Royerton Gym.

Part B: Parent/Guardian Information (P l e a s e P r i n t)

Name: Relationship: Contact Number(s):

______

______

E-mail Address(es) ______

Part C: Registration Fees = Enrollment + Fundraising + Concession Fee

Instructions: Each DGSA family should understand that total Association registration fee per applicant consists of an enrollment fee, afundraising fee, and a concession stand fee. Each applicant must pay the registration fee, due at the time of registration. The Concession Stand feeof $10 deposit may be earned back if you elect to work 1 ½ hours in the concession stand. Please complete the following information, and make check(s) in the appropriate amount(s) payable to Delta Girls Softball Association, Inc.

Enrollment Fee:$35.00 (rk/mn)/$25.00 (cp) per player for the first two players from an immediate family.

$15.00 per player for each player beyond two from an immediate family.

$20.00 (rk/mn)/$10.00 (cp) per player fund-raiser

$10.00 per player concessions duty

League Use Only

Check# ______

Cash $ ______

Notes: ______

______

______

______

1. Enrollment Fee Rookie and Minor
2. Enrollment Fee Coaches Pitch

1. Fund-Raiser Fee Rookie and Minor
2. Fund-Raiser Fee Coaches Pitch

1. Total Registration Fee Due Rookie and Minor
2. Total Registration Fee Due Coaches Pitch Fee due at the time of registration. Attach check or cash in the amount due.

Part D: Parent or Guardian Permission/Certification (MUST BE SIGNED)

I/We the parent(s) or legal guardian(s) of the above named applicant for a position on a Delta Girls Softball Association, Inc. team, certify the information is correct, agree to the terms and conditions herein, and hereby give my/our permission and approval to participate in any and all DGSA activities. I/We know that participation in softball may result in serious injuries and protective equipment does not prevent all injuries to players, and do hereby waive, release, absolve, indemnify and agree to hold harmless the Delta Girls Softball Association, Inc., the organizers, officers, sponsors, supervisors, coaches, participants, and volunteers for any claim arising out of any injury to my/our child whether the result of negligence or for any other cause. I/We grant DGSA the right to use my child’s photographs for any purpose it deems proper. I/We understand that these photographs may be used in DGSA publications, newsletters, and the DGSA web page. I/We understand that my child will not be given credit for her appearance in the photographs.

Legal Parents(s) or Guardian(s) Signature: ______

Date: ______

Part E: Volunteer to help your daughter’s team and support DGSA

It is important to understand that Delta Girls Softball Association, Inc. is a volunteer organization. Please offer your help this season in one of the following areas:

( ) Coaching( ) Team Parent( ) Board Member Nominee

Name: ______( ) Keep Score book( ) Sponsor

( ) Asst. Coaching( ) Maintenance/Grounds( ) Fundraising

Name: ______( ) Special Events( ) Other: ______

Thank you for your support!