EmailMeForm
Henderson 18 & Under Coed Sign Up
Slow Pitch Softball (High School Only)
Checkbox
*
Male
Female
Birthdate
MM
/
DD
/
YYYY
Age as of January 1, 2022
*
Please select
15
16
17
18
Grade (2021/2022)
*
Please select
9th Grade
10th Grade
11th Grade
12th Grade
Age Division
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18 & Under Coed Softball
Child's Name
*
First
Last
First Parent/Guardian Name
*
First Parent/Guardian Relationship to Child
*
Please select
Father
Mother
Guardian
First Parent/Guardian Phone:
Please select
Home
Cell
Work
*
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-
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-
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Second Parent/Guardian Name
Second Parent/Guardian Relationship to Child
Please select
Father
Mother
Guardian
Second Parent/Guardian Phone:
Please select
Home
Cell
Work
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-
###
-
####
Mailing Address (Street and PO Box if Applicable)
*
Street Address
City
State / Province / Region
Postal / Zip Code
Main Contact Phone #
*
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Email
*
Shirt Size:
*
Adult Small
Adult Medium
Adult Large
Adult XLarge
Adult 2XLarge
Volunteer
I am willing to sponsor a team ($100)
I am willing to be a head coach
I am willing to be an assistant coach
I am willing to umpire
I am willing to help with concessions
18 & Under Coed Softball ($30)
*
$
Dollars
Sponsorship - optional ($100)
$
Dollars
Sponsor Name (if sponsoring a team)
As to be printed on tshirt
By typing your name in the space provided below, you are hereby giving permission for your child to participate in the Henderson Summer Ball and/or Teeball Program. You also understand there is no insurance available through the ball program, and you will furnish the appropriate insurance for your child if you feel it is necessary. You also assume responsibility for any injury which may occur to your child.
*
Total
$0.00