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
Please complete the captcha before submitting the form.
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