Grade when Season Starts
Level of Athleticism- Please be Honest:
Parent 1 Name
Parent 2 Name
Parent 1 Cell
Parent 2 Cell
Home Phone Number
Parent 1 Email
Parent 2 Email
City, State, ZIP
I acknowledge that my daughter assumes all risks of being injured while participating in the 5 Towns Girls Sports League and I agree to hold the 5 Towns Girls Sports League, it's officials, coordinators and all other staff, harmless from any liability, loss, or personal expense arising out of my daughter's participation in the league. I have read and agreed to the terms stated in this application.
I am the parent and personal representative of the participant mentioned above, I authorize 5 Towns Sports/Flag Football/Soccer to use and disclose the camper's name, image, likeness, photograph, and voice (Identifying Information ) for all public relations and marketing purposes, and for the development of a client contact list, including through written and electronic communications and publications. I understand that the League is not providing or receiving any goods or services in consideration for its use and disclosure of the participants Identifying Information.
The cost of League Registration is: The cost of League Registration is: $230 + $10 processing fee if you pay via Credit Card. There will be a form to pay VIA credit card after you complete this application form. All participants will receive an official team color jersey which has to be worn to all games.
I UNDERSTAND THAT MY APPLICATION WILL NOT BE PROCESSED UNTIL PAYMENT IS RECEIVED.
Please be aware all Registration Fees are Non Refundable
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