2015 Youth Softball form

ADEL-DESOTO-MINBURN GIRLS SOFTBALL
2015 Registration Dates & Information
There are 2 ways to register:
1. ** Register for the youth softball program on Saturday,
February 7th at Adel City Hall from 9:00-11:00am. **
2. Mail registration form & fee to: Adel Park and Rec.
P.O. Box 248
Adel, IA 50003
(Forms can be downloaded at www.adeliowa.org or
www.adel.k12.ia.us)
Mail-in registration Deadline: February 28, 2015
All girls age K-6 are eligible; must be 5 years old for t-ball.
Registration Fees:
First Child
T-ball
Additional Siblings
*Late Registration Fee
$70(8U, 10U, 12U)
$60 (6U)
$45
$10 (After mail-in deadline)
Your registration fee covers the use and maintenance of league equipment
and fields, the expenses of new equipment purchased as needed, and a
Team T-shirt and Visor for every player.
Important Events/Dates to Remember
Walk-In Registration
Saturday, February 7, 2015
Mail-In Registration Deadline
Friday, February 28, 2015
Teams determined
Early-March
Softball Field Clean-up Day
Coaches can meet with teams
Pick up uniforms
Team practices begin
Saturday April 4, 2015
Time: 8:30am
Games Begin
Team and Individual Picture Day
Early-April
(weather permitting)
End of April
(exact dates will vary)
April 25, 2015
**This is not an Adel DeSoto Minburn Community School District publication, nor is it in any way
endorsed or sponsored by the district. This publication is being provided only to inform you of other
available community activities and opportunities.**
REGISTRATIONS CAN BE TURNED IN AT THE WALK-IN REGISTRATION ON
SATURDAY, FEB. 7th AT ADEL CITY HALL FROM
9-11 A.M. If you are unable to attend the Walk-In registration, please mail the
completed form by Friday, February 28th to: Adel Parks and Recreation, P.O. Box 248,
Adel IA 50003 (Checks payable to Adel Parks and Recreation).
ADEL-DESOTO-MINBURN GIRLS SOFTBALL REGISTRATION FORM
(Please complete only one form per child)
Girl’s Name________________________
Birthdate ____/____/_____
Age as of Jan. 1, 2015_________________
Address_________________
City____________________
Parents’ Names_______________________
Current Grade ___________ Parent Interested in Coaching? _______________
Home Phone____________ Work Phone_____________ Cell _____________
(If applicable)
Email Address_____________________________ (for league communication to parents)
My daughter is a Pitcher______ or Catcher________or Neither_________________
**** Your continued support through volunteering is appreciated! You will be assigned
as needed and we will try to go with your choice:
Head Coach
Assistant Coach
IMPORTANT LIABILITY WAIVER AND PERMISSION AGREEMENT
By signing this agreement, I the participant, parent, and/or guardian understand that participation in this
activity may result in some type of injury and protective equipment does not prevent all injuries to
participants. I hereby give permission for my child, ward, or myself to participate in the below registered
program and/or activity and certify that my child (or myself) is physically fit to join in the activities. I
hereby waive, release, and agree not to hold the City of Adel Parks and Recreation Department sponsors,
supervisors, and volunteers liable for any injuries that may occur as a result of participation in these
activities. I also give my permission for any photos/videos, etc. of these participants taken during a
program to be used for future departmental promotional materials.
Activity
Date of Activity
Parent, or Guardian
Name of Participant
Registration Fees:
Date
First Child
Additional Children
Late Registration Fee
$70 U8, U10, U12 $60 T-ball
$45
$10
Participants will receive a Team T-shirt and adjustable visor. Please circle girl’s size
preference below:
Yth S
Yth M
Yth L
Adult S
Adult M
Adult L
Adult XL
(6-8)
(10-12)
(14-16)
(32-34)
(34-36)
(42-44)
(42-44)