ATHLETE INFORMATION

Name ____________________________________ Home Phone____________________

Home Address ____________________________ City & Zip Code _________________

Email address ________________________________________

Father’s Name ____________________________ Phone __________________________

Mother’s Name ___________________________ Phone __________________________

Step Parents______________________________Phone___________________________

How old were you on December 31, 2007 _______ Birth date ______/_______/_______

What grade are you in? ____________ What is your school? __________________

Have you ever played fastpitch before? ________________ How long? ________________

What position(s) do you like to play? _________________________________________

What positions have you played? ____________________________________________

Do you or someone you know have interest in being a coach or assisting? Yes ________ No _______

Who? _________________________ Do they have experience coaching? ____________

Would you or someone you know be interested in financially supporting our league OR advertising in our league program? _______________ Who? ________________________

________ $45 for 1^st athlete _________ $35 for 2^nd athlete ________ $30 for 3^rd athlete

NOTE: All fees are payable to Portage Lakes Fast Pitch Softball Inc. and are due at the time of sign-ups and uniform sizing!

===================================================================

FOR LEAGUE USE ONLY

Shirt size Y-sm Y-med Y-lg Y-xlg Adult- sm A-med A-lg A-xlg

Shorts size ____ Socks _____Knee slider____Short slider_____ Division ____Team _______

Hoody size Y-sm Y-med Y-lg Y-xlg Adult- sm A-med A-lg A-xlg

BC copy _____ Amount paid $ ______ cash _____ or by check # ________ rec’d by ________