2024 Summer Co-Ed Softball League Registration

* Required Fields
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Fee: $75.00
Fill out all of the required fields on this form.
Participant
*Full Name
Street Address
City
State
Zip Code
*Email
*Mobile Phone
Evening Phone
*Gender
 Male 
 Female 
*Birthdate
*T-Shirt size
Preferred team to play on
Your favorite 'walk-up' song, if you have one
*Are you interested in being a coach/manager?
Positions you can play (you can select more than one)
Pitcher
  
Catcher
  
Infielder
  
Outfielder
  
First base
  
Second base
  
Third base
  
Shortstop
  
Left fielder
  
Left center fielder
  
Right center fielder
  
Right fielder
  
Emergency Contact
*Emergency Contact Name
*Emergency Contact Relationship
*Emergency Contact Phone
Refund Policy
Don't type in this field
The Policy
If once you have paid, and decide to withdraw from the league, you may request a refund by sending an email to fallscitysportsclub@gmail.com. Include your name and cell phone number.
No refunds will be given once the league has started.
*Refund Confirmation
 I have read and understand the refund policy. 
Medical Release Waiver
Event Waiver
I do hereby give my approval for participation in any and all Falls City Sports Club softball league activities.
I hereby grant my permission to managing personnel or other organization league representatives to authorize and obtain medical care, at my expense, from any licensed physician, hospital or medical clinic should I become ill or injured while participating in  league activities away from home. I assume all risks  and hazards incidental to my participation, including  transportation to and from the activities; and do  hereby waive, release, absolve, indemnify, and agree  to hold harmless the Falls City Sports Club, its representatives, the organizers, participants, and  persons transporting me to and from the activities, for any and all claims arising out of an injury to myself.

Documentary evidence of insurance is also required, as such evidence of insurance may be requested by a physician or hospital when a team member is treated. A certificate of insurance, or insurance card, is the preferred.
*Medical Release Waiver
 I have read and understand the Medical Waiver policy 
Registration Fee
To pay by check, make it out to 'Falls City Sports Club' and send to:
FCSC
7628 Celebration Way
Crestwood KY  40014
Total Due:
$ 
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