Manly Warringah Softball Association Inc.

2003/04 Registration Form

 

Surname                                                   Given Name                                     Registration No.                             

                                                                                                                                           First Registered:                                       

Address                                                                                                                       

Suburb                                                                                                                         

Post Code                                                                                                                                 

Phone                                                                                                     Mobile Phone:                                                     

e-mail:                                                                                                                                    

Date of Birth                                                                                           _                         

Age in 2004                                                                   _                                              

Club Registering with                                                                            _

02/03 Team                                                                                                                      

2003/04 Details

 

Team	Grade	Type	Level
		Scorer
		Coach
		Umpire

Registration type Player, Coach, Scorer, Umpire, Official

Level: Accreditation level for Coach, Scorer, and Umpire

 

All Coaches must hold level 0 or higher certification.

 

Players and officials first registered with another association must have Permission Notes completed and attached

 

To be completed if the player is under 18 years of age.

I,                                                                      as Parent/Guardian of the above named player give my permission for her to play within the MWSA Inc. competitions this season..   Parent’s SIGNATURE                                                                             .

 

I, the undersigned, acknowledge that playing any sport, including softball and or teeball, has an inherent risk of injury. I further authorise and appoint MWSA Inc to take all steps on my behalf as it may think fit to obtain medical or associated treatment on my behalf in relation to any illness or injury suffered.

 

Dated at                                                       on the                   day of                           2003.

 

 

Signature                                                                                  _                                                      

Parent/Guardian to sign if the player is under 18 years of age.