Player Information

Players First Name	Players Last Name

Date of Birth

Address

City	State	Zip Code

Years of softball played	I bat...

I throw with my...	Age group trying out for:

Favorite position	Previous club level	Previous club team

School you attend in the fall	Grade level in the fall	Do you play for your school?

Describe your Softball experience.

Parent Information

Father

First Name	Last Name

Home Number	Mobile Phone	Email Address

Mother

First Name	Last Name

Home Number	Mobile Phone	Email Address

Guardian

First Name	Last Name

Home Number	Mobile Phone	Email Address

Emergency Contact Information

First Name	Last Name	Relationship

Address

City	State	Zip Code

Home Number	Mobile Phone	Email Address

* I certify that my child is in good health and can participate in all activities. In the case of medical emergency I authorize The Bombers Athletic Club, Inc. representatives to seek treatment. I am responsible for all medical expenses. I understand and assume the hazards and risks associated with this activity and waive all claims of any liability against The Bombers Athletic Club, Inc., Directors, and its governing body, the City of Colorado Springs, Falcon School District 49, Lewis Palmer School District 38, the Town of Falcon and the Town of Monument.

Please type your name if you are in agreement with the above statement
Date: