2019 Lakewood Girls Softball Registration & Payment Form

Registration for the Lakewood baseball program is for LPOA Members, Non- LPOA members, and non-residents of Lakewood that are between the ages of 7 and 10 years . Approximate date for season to begin is April 15th. Registration will run FEBRUARY 1st through FEBRUARY 28th, 2019. Your 2019 LPOA Member Dues must be paid to receive the Member Sports Discount. **Late registration will ONLY be accepted only if space is available and a $10 LATE FEE WILL be assessed. **

23Questions

1
Players Name* This field is required
First Name
Last Name
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2
2019 LPOA FULL MEMBER OR ASSOCIATE MEMBER* This field is requiredAre you a current 2019 LPOA Member or Associate Member ( MUST have 2019 Dues Paid)
YESNO
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3
Players (child's) LPOA 2019 Member Number (on top of ID card)Child LPOA Member Number
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4
Address* This field is required
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
United States
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
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
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
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5
Birthdate* This field is required
Date
Year
Month
Day
Date
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6
Age on December 31, 2018* This field is required
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7
Number of Years Played? * This field is required
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8
What park did you play at in 2018?
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9
2018 Coaches Name?
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10
Email Address Parent/Guardian #1 * This field is required
example@example.com
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11
Parent/Guardian Name #1* This field is required
First Name
Last Name
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12
Cell #1Phone Number* This field is required
Area Code
Phone Number
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13
Parent/Guardian Name #2
First Name
Last Name
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14
Cell #2 Phone Number
Area Code
Phone Number
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15
Volunteer for Coach? * This field is required
Yes
No
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16
Would you or your business like to sponsor a team for $400* This field is required
Yes
No
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17
If YES, THANK YOU!! Please enter contact name and phone number
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18
Uniform Shirt Size* This field is required
YS (6-8)
YM (10-12)
YL (14-16)
AS
AM
AL
AXL
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19
Uniform Shorts Size? * This field is required
YS
YM
YL
AS
AM
AL
AXL
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20
REGISTRATION PERIOD BEGINS February 1st, 2019 and ENDS February 28th, 2019 for girls 7-10 Years of Age. Fees are for league play only.

2019 LPOA Membership Fees must be paid to receive Member Sports Discount.

**LATE REGISTRATION WILL ONLY BE ACCEPTED ONLY IF SPACE IS AVAILABLE and a $10.00 FEE WILL BE ASSESSED**

DECEMBER 31, 2018 DETERMINES AGE BRACKET

Registration Fees Listed Below!!

Age Group 7-8……………………………$85.00 Members / $110.00 non-members

Age Group 9-10…………………………..$85.00 Members / $110.00 non-members

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21
Any additional notes for office?
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22
Payments* This field is required
My Bag
0
My Bag
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
ORDER SUMMARY
Total costUSD
7-8 yr Recreational Softball - MEMBERS ( MUST have paid 2019 LPOA dues)
$85.00+Remove
Back
9-10 yr Recreational Softball- MEMBERS ( MUST have paid 2019 LPOA dues)
$85.00+Remove
Back
7-8 yr Recreational Softball- NON-MEMBERS
$110.00+Remove
Back
9-10 yr Recreational Softball- NON-MEMBERS
$110.00+Remove
Back
Total $0.00
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23
LPOA Activities Photo Waiver.* This field is requiredPhoto Permission/ Release: By registering my child in LPOA's Youth Sports Program, I hereby give Lakewood Property Owners Association permission to utilize sports or event photos that may include my child. Photos and videos that are taken by LPOA may be used for current or future marketing in both print and social media materials. Photos will be used to help promote Lakewood Property Owners Association’s programs and benefits to its members, future members, and sponsors. I hereby waive all claims for damage or loss incurred directly or indirectly in connection with any released photos. This Permission/Release shall be binding upon the submission of my child's registration form
I acknowledge and agree to this LPOA Photo Waiver
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