Bridgeport Girls Softball Registration
By Connect-Bridgeport Staff on January 25, 2015 via Connect-Bridgeport.com
Registration for Bridgeport Girls Softball Association is being held 9 a.m.-noon Jan. 31, Feb. 14 and Feb. 28, at the Benedum Civic Center, Main Street, Bridgeport. Each player must provide a copy of his or her birth certificate with the registration form below. The league is for girls ages 6 through 15.Registration fee is $60 for the first player and $40 for the second player from the same family. Maximum registration fee per family is $100.
Volunteers are needed to fill many positions within the league. Please call Sonny Pethtel, BGSA president 304- 838-8664 or Jeff Freeman 304-842- 0378 for more information.
No child will be turned away due to the inability to pay.
Bridgeport Girls Softball Association
P.O. Box 663
Bridgeport, WV 26330
President, Sonny Pethtel, (304) 838-8664 / Vice President, Jeff Freeman, (304) 842-0378
Player’s Name _____ _______________________________________ Birth Certificate Received Y or N
Address ___________________________________________________________________________________________
Home Phone _______________________________________________ Date of Birth ____________________________
**BIRTH CERTIFICATE REQUIRED FOR REGISTRATION**
Mother ___________________________________________________ Cell ___________________________________
Place of Employment __________________________________ Work Phone ____________________________
Email ______________________________________________________________________________________
Father ____________________________________________________ Cell ___________________________________
Place of Employment __________________________________ Work Phone ____________________________
Email ______________________________________________________________________________________
Previous Team _____________________________________________ Return? YES NO
Allergies __________________________________________________________________________________________
Medical Concerns ___________________________________________________________________________________
Insurance _________________________________________________ Policy # ________________________________
Other activities or vacation that may interfere with the softball season:_________________________________________
__________________________________________________________________________________________
I/We, the parent of the above named candidate for a position on the Bridgeport Girls Softball Association Team, herby give my/our approval to participate in any and all league activities. I/We assume all risks and hazards incidental to such participation, including organizers, officers, sponsors, supervisors, participants, and persons transporting my/our children, except to the extent and in the amount covered by accident/liability insurance of family and the Bridgeport Girls Softball Association. I/We will furnish a Certificate of Birth for the above named candidate to league officials, upon request. I/We hereby give my/our consent for the Bridgeport Girls Softball Association officers, coaches, coordinators and staff to procure medical treatment for my/our above named child.
Parent Signature _______________________________________ Date _______________________________
 8U |
 10U |
|
12U |
 15U |
Shirt Size ______________ Youthor Adult
Visor YES or NO
|
_____YES, I am willing to help coach a team! (Please fill-out coach’s form)
All Parents are Expected to Volunteer in Some Way!
Please mail form, copy of birth certificate and registration fee BGSA; PO BOX 663; Bridgeport WV 26330
$60 first child, $40 second child, ($100 cap per family)
Payment Received: Cash _______________Check# _______________ Birth Certificate Received ________
