Participation Form

Participation Form

Please complete this form to provide consent for participation in A Softball Night For ALL, September 28, 6PM, Jones College
Participant Full Name

First NameLast Name
Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Grade/Level
T-shirt size
Parent/Guardian Full Name

First NameLast Name
Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Emergency Contact Name

First NameLast Name
Emergency Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Please include any information to allow us to better accommodate the needs of participant.
I, the undersigned, acknowledge and understand that participation in sports involves inherent risks, including but not limited to physical contact, falls, collisions, and exposure to varying weather conditions, which may result in injury.

Medical Consent

In case of an emergency, I authorize the coaching staff or authorized personnel to seek medical treatment for my child. I understand that all reasonable attempts will be made to contact me before such action is taken.

I agree to assume all financial responsibility for any medical care provided.

Photo Consent

I give permission to The Social Club/Jones College to use photos, images, video, or likeness without payment.
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Signature
Should be Empty: