Registration Info:
Registration forms are due with payment by 2/15/2013. Registration forms are submitted online only. If paying by check or cash, you must submit your registration online and then mail check or drop payment to Tri County Audio in Sussex. When paying online, please submit payment for all family members with 1st player's registration form. Simply click to add additional players when paying via Paypal You do not need a Paypal account to use Paypal, you can simply pay using your credit card info.
Player's Name
*
First Name
Last Name
Player Information
Player's Grade
*
Division
Rookie (grades k-2)
Junior (grades 3&4)
Intermediate (grades 5&6)
Senior (grades 7&8)
High School (grades 9-12)
Birth Date
*
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
1
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31
Day
Please select a year
2026
2025
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2023
2022
2021
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2018
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2015
2014
2013
2012
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1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Year
Player's Age
*
T-Shirt Size
*
Please Select
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Adult X Large
League supplies team shirt and visor. Player will need pants (see coach for color), sneakers & glove. Cleats are optional. For sanitary reasons, our league suggests purchase of a personal batting helmet with mandatory face guard.
Contact Information
Primary Contact
*
First Name
Last Name
Primary Contact Relationship
*
Mother
Father
Guardian
Primary Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Primary Home Phone
*
Primary Work Phone
*
Primary Cell Phone
*
Primary Email Address
*
Alternate Contact
First Name
Last Name
Alternate Contact Relationship
*
Mother
Father
Guardian
Alternate's Telephone
*
Work Phone
*
Cell Phone
*
Alternate Contact Email
*
EMERGENCY CONTACT (if parent/guardian cannot be reached)
*
First Name
Last Name
EMERGENCY Contact's Phone
*
Medical Information
Doctor's Name
*
Doctor's Phone
*
Medical Insurance Carrier
*
Insurance ID Number
*
Insurance Group Number
*
Does your child have a medical issue that the league or coach should be aware of?
*
No
Yes
if so, please explain
*
Other Activities
Does player participate in another sport, activity or travel softball during rec softball season?
*
Yes
No
If "yes", what activity? (type none if none)
*
Consents, Releases & Acknowledgements
SWGSL Permission and Consent For Participation
I/We the parent(s)/guardian(s) hereby give our permission for our daughter to participate in softball league activities this season. i understand this application does not guarantee placement of my child on a team. The number of teams is dependent upon coach availability and an adequate number of applicatns to form teams. Should placement on a team not be possible, the full registration fee will be refunded. I also understand that the medical insurance carried by Sussex Wantage Girls' Softball League is secondary to any family insurance we may have.
*
Yes, I have read and agree to the Permission and Consent
SWGSL Photo Release
Unless a written statement to the contrary is filed with SWGSL, all participants (includes players, parents, relatives, friends, coaches, managers and officials) give implicit permission and authorization to SWGSL to use any still photo, and/or video for promotional and communication prposes. By granting permission, participants release any and all claims for damages for libel, slander or invasion of right of privacy.
*
Yes, I have read and agree to the Photo Release
SWGSL Liability Release/Consent for Medical Treatment
I/we, the parent(s)/guardian(s) of this minor, acknowledge that participating in the above namesd league involves certain risks and that injuries, death, property damage, or other harm could occur to me or others. I accept and voluntarily incur all risks of any injuries, dmages, or harm which arise during or resulting from my participation in the activity. These risks include, but are not limited to, the possibility of accident or illness while traveling to and from events as well as injury arising out of participation in the physical activity involved with this sport. It is strongly recommended that each participant have an annual examination and carry personal health and accident insurance. Furthermore, I/we do for ourselves, executors, administrators, heirs agree to hold harmless, waive, release and agree to indemnify SWGSL, participating towns, member clubs, officers, officials, referees, coaches, umpires, managers, owners of playing fields and facilities utilized, or any sponsors for any claims that might be asserted by us or our child as a participant in the game of softball. As the parent of legal guardian of the above named player, I hereby give my consent for emergency medical care prescribed by an individual holding first aid/cpr certification, EMT and/or Doctor of Medicine. Care may be administered by others under whatever conditions are necessary to preserve the life, limb or well being of my dependent.
*
Yes, I have read and agree to the Consent for Medical Treatment
Zero Tolerance Policy
All players, coaches, parents and fans are expected to demonstrate an attitude and behavior of respect towards others and display good sportsmanship and conduct at all times. SWGSL has adopted a "Zero Tolerance" policy to be enforced during all sponsored events. Any persons demonstrating unsportsmanlike, disrespectful or abusive conduct can be asked to leave the premises. Repeated or flagrant acts could result in removal from the program. Questions, comments and concerns should be directed to the SWGSL Board of Directors
*
Yes, I have read and agree to the Zero Tolerance Policy
Volunteer Help
I will volunteer for (must choose at least one)
*
Head Coach (must complete SWGSL Coaches' Application)
Asst. Coach (must complete SWGSL Coaches' Application)
Field Maintenance
Equipment
Team Sponsors
Opening Day
Fundraising/Road Clean-up
End Ceremony
Team Shirt Orders
Board Position
Trophies
Pictures
Sponsor Plaques
Opening Day Raffle Sponsors
Publicity (Send game recaps to paper)
Field Scheduling
Opening Day Concession Sponsors
Insurance Form Collection
Payment
Refund Policy:
No refunds unless player moves from area or has a medical condition that prevents her from playing. Registration fees will not be refunded because your child has a conflict with another sport/activity.
*
I understand the Refund Policy
Payment Option For This Player:
*
Paypal (credit card)
By Mail (checks only)
Hand Delivered (cash or checks)
Already Paid When Submitting Prior Form
By Mail
After submitting form online, make check payable to Sussex-Wantage Girls' Softball League. Mail by February 15, 2013 to 53 Wantage School Rd., Wantage, NJ 07461. Checks must be postmarked by February 15, 2013 to avoid $25 late fee. NO EXCEPTIONS!. $25 fee for returned checks. DO NOT MAIL REGISTRATION FORMS.
Hand Delivery:
Deliver by February 15, 2013 to Tri County Audio, 36 Hamburg Ave., Sussex, NJ. $25 Late fee if not received by 2/15/2013. NO EXCEPTIONS! Put cash or check in envelope marked with name and ask for receipt! $25 fee for returned checks. Do not deliver registration form. You must submit online.
Already Paid In Full When I Submitted First Form
Entire family payment was submitted online with first registration
Paypal: Make one payment for all family players with 1st registration. Choose payment option "already paid" on remaining player registrations!
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( X )
Rookie Player (grades k-2)
$49.00
$
49.00
Quantity
1
2
3
4
Regular Player (grades 3-12)
$69.00
$
69.00
Additional Player (sibling)
$49.00
$
49.00
3 Or More Players (Family Discount)
$139.00
$
139.00
Late Fee (payments received after 2/15/2013
$25.00
$
25.00
Quantity
1
2
3
4
Total
$0.00
$
0.00
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