Lansing Mudcat Player Registration Form

Lansing Mudcat Player Registration Form

Use this form to register for summer baseball and softball teams.
Welcome Mudcats! We are excited for the Summer 2025 season! Please complete the entire form and submit payment to complete your registration. Please use one form for your whole family.
- Registration fees for summer 2025 are $35.00 per participant. You will be asked to pay this via card at the end of the form. The maximum charge is $105.00, or three children. Any amount over that is waived for additional children.
- If you would like to complete a paper form and pay with check or cash you can do so at Lansing City Hall - 201 John Street, Lansing, IA 52151.
- Please register your child no later than April 7th. We need to know how many children are playing this year to make an appropriate division of teams.
- If teams fill up, a precedent will be given to kids living in the Eastern Allamakee Community School District. If teams fill and you are outside this area, a full refund will be given.
If you have any questions, please email or call the deputy city clerk at 563-538-4757 or deputyclerklansing52151@yahoo.com

Order your Mudcat Uniform and Fanwear!

Mucat Order Form

Mudcat Order Form - Download and return with payment to City Hall (during open hours or to the dropbox outside the office) or Riverland Expressions. Please Make Checks out to City of Lansing.
Child Information

Fill in the form for up to four children.
Player Name - 1*

First NameLast Name
Gender*
Age as of May 1st, 2025*
Grade Level - in the 2024/25 (THIS) School Year*
Player Name - 2

First NameLast Name
Gender
Age as of May 1st, 2025
Grade Level - in the 2024/25 (THIS) School Year
Player Name - 3

First NameLast Name
Gender
Age as of May 1st, 2025
Grade Level - in the 2024/25 (THIS) School Year
Player Name - 4

First NameLast Name
Gender
Age as of May 1st, 2025
Grade Level - in the 2024/25 (THIS) School Year

Parent & Emergency Contact Information
Parent/ Guardian Name*

First NameLast Name
Parent/ Guardian Email for all communications*
example@example.com
Phone Number*
Name of secondary Emergency Contact (or second parent name)

First NameLast Name
Second Emergency contact phone number in case of emergency
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Health Declaration and Information
Confirmation*

I hereby declare that I give my full express consent to let my child be given immediate treatment by any qualified medical personnel in circumstances which may need immediate attention and care.
Clinic / Hospital of choice*
Name of Family Doctor*

First NameLast Name
Doctor Phone Number*
In case the parent/guardian is out of reach at the time of emergency, with consent of the latter, we will exercise the required diligence needed to have the athlete treated by an E.R Physician. In this regard, we would like to know any precautions that we need for the athlete
Any Allergies to Medicine and Antibiotics?
Medications

Parental/Guardian Consent
Waiver*

I am aware that any physical sport activity may cause accidental injury or harm among the athletes, and I assume any and all possible risk that may cause injury, illness, or death arising to such activity. I agree to waive my right to pursue any claim against the City of Lansing, coaches, or Lansing Parks and Recreation Board and volunteers. By ticking the box and typing your name in this box below, I consent to the above statement.
Parent/ Guardian giving consent*

First NameLast Name
Photo Release Waiver
I hereby give my consent for photos of my child(ren) to be shared on the Lansing Park and Rec social media and other media.
Please answer "yes" or "no."*

Registration Fee
REGISTRATION FEE - Change the quantity drop box for the number of kids you are registering. *
prevnext( X )
Registration Fee$35.00
Maximum charge of $105.00. If you are registering more than three athletes, select a quantity of 3.

Quantity

Total $0.00

Payment Methods

Debit or Credit Card

Choose from one of the PayPal options to make your payment.

Should be Empty:

Lansing Mudcat Player Registration Form

Child Information

Parent & Emergency Contact Information

Health Declaration and Information

Parental/Guardian Consent

Photo Release Waiver

Registration Fee