2021 Registration Form (Stratford Girls Softball)
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2021 Registration Form
SMGSA is preparing for the 2021 season. With changes due to COVID-19 we are unable to determine the fee's for this season until closer to the start date. We are asking that if you are interested in playing this season. You fill out the registration form so we are sure get you on a team. SMGSA will send email out payment information at a later date close to the start of the season.
Player to be Registered
Last Name:
*
First Name:
*
Date of Birth
*
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Primary Phone
*
Example: ###-###-#### x###
Phone Number Location
*
Home
Cell
Work
Primary Email
*
PLEASE NOTE: SMGSA uses this email as it's primary method of communication with players. A copy of this submission will be sent to this address when complete.
Unit/Street No.:
*
Street Address:
*
City:
*
Postal Code:
*
Medical Concerns:
Registrant (Parent, Guardian or Adult Player)
This Section to be completed by parent guardian or player over the age of 18
Parent / Guardian 1 First Name
*
At least one parent / guardian name is required
Parent / Guardian Last Name
*
Parent / Guardian 1 Phone
Example: ###-###-#### x###
Phone Number 1 Location
Home
Cell
Work
Parent / Guardian 1 Email
Example:
[email protected]
Parent / Guardian 2 First Name
Parent / Guardian 2 Last Name
Parent / Guardian 2 Phone
Example: ###-###-#### x###
Phone Number 2 Location
Home
Cell
Work
Parent / Guardian 2 Email
Example:
[email protected]
Registration
Team Registering for:
*
Select One...
Rookie Ball (2013/2014/2015/2016)
U10 - HP(2011/2012)
U10 - Rep(2011/2012)
U12 - HP(2009/2010)
U14 - HP(2007/2008)
U14 - Rep(2007/2008)
U16 - HP(2005/2006)
U21 - HP(2000/2001/2002/2003/2004)
U19 - Rep(2002/2003/2004)
Volunteer/Refund Opportunities
Please consider helping out. SMGSA needs lots of volunteers to make our program work.
Are you interested in volunteering with SMGSA?
*
Yes
No
Please consider helping out. SMGSA needs lots of volunteers to make our program work.
Volunteer Name
If yes, where would you like to help?
Head Coach
Assistant Coach
Parent Convenor or Helper for Rookie Ball
Parent Rep for Team
Board Member
Booth (1 Shift, 2 Hours, 3 Times Per Season)
Maintenance (5-6 hours of general work around the park)
Bingo (1 Bingo during the season from 5pm-10pm)
Please select all that apply
If selected coach or parent rep. Please identify the team you would like to be involved with.
Select One...
Rookie Ball
U10 - HP
U10 - Rep
U12- HP
U14 - HP
U14 - Rep
U16 - HP
U19 - HP
U19 - Rep
If selected Booth. Please identify when you are available
Example: Weekends, Weekdays, During my daughter's game, Not wednesday....
Player Emergency Contact
Name of Contact:
Contact Phone:
Example: ###-###-####
Human Validation
Check The Box
*
Human Validation Failed, Please Try Again
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Sun Apr 18, 2021
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