REGISTRATION FORM FOR SCITUATE YOUTH CENTER, INC.
Child's Name:____________________________________ Age:________________
Address:________________________________________ Phone:______________
Date of Birth:_________________ School:_____________ Grade:______________
Spring Program Begins week of April 26
Softball Team Last Year:_____________________________________________
Did you play Summer Travel Softball last year? yes or no
Note any special medical considerations your child may have:_______________________________________________________________
COACHES ARE NEEDED!!! If you are willing to help, please indicate.
Important Notice: Mass law now requires the SYC to obtain Criminal Offender Record Information (CORI) on all of our volunteers. Additional details will be provided at a later date.
Name:__________________________________________ Phone:________________
Program:________________________________________ ( ) Coach ( ) Referee
SCITUATE YOUTH CENTER, INC. WAIVER and INDEMNIFICATION
In consideration of the acceptance of (Name of Child) ______________________________________
In the above named program of the SCITUATE YOUTH CENTER, INC., the Scituate Youth Center, Inc. and those people acting on its behalf, are released and indemnified from and against all claims of any nature whatsoever, for injuries and consequential damages which may be sustained by the above named child arising out of, or in the course of participation in this program.
Signed and sealed this _____________ day of March 2010
________________________________________ Email Address:_______________________________
(Parent or Guardian)
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