FUMC-Baseball Registration 2021
Please fill out one per child. Please complete by February 15, 2021. Questions: Call Jeff Gist at 479-462-7283 or email him at
jgpginc@gmail.com
or the church office at 479-782-5068.
* Required
Child's Name
*
Your answer
Age
*
Must be age 4 by July 1, 2021 or NOT be age 16 before May 1, 2021
Your answer
Date of Birth
*
Your answer
Street Address
*
Your answer
City
*
Your answer
State
*
Your answer
Zip Code
*
Your answer
Telephone
Your answer
Mom's Name
First and Last
Your answer
Mom's E-mail Address
Your answer
Mom's Cell Phone Number
Your answer
Dad's Name
First and Last
Your answer
Dad's Email Address
Your answer
Dad's Cell Phone Number
Your answer
Emergency Contact (besides parents):
*
Name and Phone Number
Your answer
Has your child played on a FUMC baseball team in the past?
If you answer yes, please list the coach's name on next question.
Yes
No
Coach's Name
If you answered yes above, please answer below.
Your answer
Are you a member of First United Methodist Church, Fort Smith, AR?
Yes
No
Clear selection
Are you currently a member of another church in the area?
If you answer yes, please list the church's name in the next question.
Yes
No
Clear selection
Church's Name
If you answered yes above, please list the Church's name below.
Your answer
Does your child play baseball for any other organization (travel ball)?
If you answer yes, please list the organization/team in question below.
Yes
No
Clear selection
Organization/team
If you answered yes above, please list the organization team below
Your answer
Dad, would you be interested in being a team parent or coach?
Team Parent
Head Coach
Assistant Coach
Wherever I'm needed
Clear selection
Mom, would you be interested in being a team parent or coach?
Team Parent
Head Coach
Assistant Coach
Wherever I'm needed
Clear selection
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