EYAA

EYAA REGISTRATION FORM
Mom's Name

First NameLast Name
Dad's Name

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Home Phone

Area CodePhone Number
Dad's Cell Phone

Area CodePhone Number
Mom's Cell Phone

Area CodePhone Number
E-mail
Would you be interested in coaching?*

YesNoAssisting
Which sport are you signing up for?*
1st Kid
Name as it appears on birth certificate*

First NameMiddle NameLast NameSuffix
D.O.B. - EX: 01/15/2004*
Gender*
Have they played before?
2nd Kid
Name as it appears on birth certificate

First NameMiddle NameLast NameSuffix
D.O.B. - EX: 01/15/2004
Gender
Have they played before?
3rd Kid
Name as it appears on birth certificate

First NameMiddle NameLast NameSuffix
D.O.B. - EX: 01/15/2004
Gender
Have they played before?
4th Kid
Name as it appears on birth certificate

First NameMiddle NameLast NameSuffix
D.O.B. - EX: 01/15/2004
Gender
Have they played before?
5th Kid
Name as it appears on birth certificate

First NameMiddle NameLast NameSuffix
D.O.B. - EX: 01/15/2004
Gender
Have they played before?
The EYAA has an official website and Facebook page. We would like the opportunity to highlight as many children as possible. If photographed, could we use your child as a feature on our website or Facebook page?*

YesNo
I/We the parent/guardians of said child above hereby give my permission for the named child to participate in any summer recreation programs provided by the Elkhart Youth Athletic Association and Elkhart Summer League. I/We do hereby release the Elkhart Youth Athletic Association, Elkhart Summer League, East Texas Fast Pitch, Texas Teenage Baseball/Softball league, Little Dribblers, Elkhart Flag Football Association, board members and all managers, coaches, umpires, and assistants involved in the Elkhart Summer League of any liability, resulting from or associated with any injury received during any practice, regular game, or required travel as a member of any team, sanctioned by the Elkhart Summer League.
Please check*

I agree
* I have read the parent/player/coach code of conduct and agree to abide by them.*

Yes
Price*
Should be Empty:

EYAA REGISTRATION FORM

1st Kid

2nd Kid

3rd Kid

4th Kid

5th Kid