Lopatcong Athletic Association 2017 Girl's Softball Registration Form
Welcome to the Lopatcong Athletic Association's 2017 Girl's Softball Season.
Registration Deadline: March 6, 2017
This form along with the registration fee must be completed and paid to complete the registration process.

**The following forms are REQUIRED and available on the LAA Website/Softball**
Please fill out and return to your Softball Coach.
1. SPORT-PARENT CODE OF CONDUCT
2. MEDICAL TREATMENT AUTHORIZATION AND LIABILITY RELEASE

Divisions:
Pony - Kindergarten - 2nd
Biddy - 3rd & 4th
Midget - 5th & 6th
Juniors - 7th & 8th

**PAYMENT MUST BE MADE UPON REGISTRATION**
PayPal is available on the LAA Website/Softball
Checks Made Payable to: Lopatcong Athletic Association

Email address *
Player's Name: *
Your answer
Birth Date: (Check Year) *
MM
/
DD
/
YYYY
Current Grade Level: *
Home Address: *
Your answer
City: *
Your answer
Home Phone Number: *
Your answer
Relationship to Participant: *
Parents Name *
Your answer
E-mail *
Your answer
Cell Phone *
Your answer
Emergency Contact Name & Phone Number *
Your answer
Allergies or Medical Conditions? *
If Yes, Please List:
Your answer
Registration Fee: *
T-Shirt Size *
Interested in Coaching? *
Name of Volunteer:
Your answer
Payment Method**Payment Must Be Received By March 6, 2017 or Your Registration Will Be VOID** *
PayPal E-mail:
Your answer
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