Parks and Recreation Forms

Winters Sports Form Electronically Submitted

Bath County Parks and Recreation

Registration Deadline: November 8, 2019

Child's Name:   Date:


School: Age: Grade: Birthday:

Mother's Name:  Home Phone: Mother Cell Phone:

Mother's Email: Work Phone Mother:

Father's Name:  Home Phone: Cell Phone:

Father's Email: Father Work Phone:


League age for girls volleyball, teen volleyball and teen basketball is as of October 1st.  Girls may play Boys Basketball Jr and Sr League

Girls Volleyball Jr. League (8-10)  Girls Volleyball SR League (Ages 11-12)  

Girls Teen League Volleyball (Ages 13-15)  Boys Basketball Jr League (ages 8-10) 

Boys Basketball Sr League (11-13) 

Teen League Basketball (14-15)  Rookie League Basketball (ages 5-7

Yes, I would like to coach.  Sport, you want to coach.

**** Parents, please be advised that our sports are combined.  Valley and Millboro children will be playing on the same teams.  Also, by signing your child up, you are committing to traveling  as needed to play games.If uniforms are not turned in, the parents will be charged the cost of the uniform. The child will not be allowed to participate in any other programs sponsored by the Bath County Parks and Recreation Department until the complete uniform/equipment or cost of the uniform is turned in to the recreation department.

Please be advised that our age brackets are subject to change depending on the number of registrations.

Practices will begin in December 2019.  Games will begin in January 2020. 

Please Initial and sign below:

I hereby agree to return and confirm with the coach or the Parks and Recreation Department.  If uniform/equipment is not returned, I agree to pay the cost of the uniform.

I hereby give consent for my son/daughter to participate in the Youth League Sports sponsored by the Bath County Parks and Recreation Department, County of Bath, VA, and hereby waive and relinquish any and all rights of legal action or claims of said Department or the officers or members thereof, which might hereafter exist in the event of athletic injuries to said child.

Code of Standards for parents:

Parents shall be expected to demonstrate that they have an appreciation of the philosophy of youth league programs and cooperate with others in making the program of mutual benefit to all youngsters, further, parents are to show by example that they respect the judgement and position of authority of league referees and recreation department personnel.  They are expected to instill in their children a respect for the authority of all adult leaders in the league.

Parent Signature

Date Parent's Signature


Security Measure