Spring 2020 Town of Orleans Youth Commission Signup Form

We are currently hold sign ups for Spring Softball, Baseball, and T-Ball.

Sport: *

Softball Baseball T-Ball

Child Name *

First Name Last Name

Current Grade *

Date of Birth *

Month Day Year

Age *

Gender *

Male Female

Sports Experience & Years Played

Jersey Size *

YS YM YL YXL AS AM AL AXL

Parent's Name *

First Name Last Name

Phone Number *

Area Code Phone Number

Alternate Number

Area Code Phone Number

Text?

Yes No

E-mail

Home Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Medical Conditions or Allergies

I give permission for my son/daughter to receieve emergency medical treatment administered by coaches or Youth Commission Volunteers. In an emergency, if I, the parent or guardian can't be reached, please contact:

Name *

First Name Last Name

Phone Number *

Area Code Phone Number

Parent/Guardian Signature (by filling out this field you are signing and agreeing to the above *

First Name Last Name

I agree to return all equipment/uniforms issued to my child. I understand that I am responsible for repairing or replacing the equipment/uniforms if it is damaged, lost or stolen while in my possession. I understand uniforms are the property of TOYC.

Parent/Guardian Signature (by filling out this field you are signing and agreeing to the above *

First Name Last Name

I hereby grant TOYC permission to take and use photographs of my child in any and all of its publications and in any and all other media.

Parent/Guardian Signature (by filling out this field you are signing and agreeing to the above *

First Name Last Name

Teams exist with the contingency that a parent or volunteer is willing to accept the coaching challenge.