Parks and Recreation Forms

Fall Sports Form Electronically Submitted

Bath County Parks and Recreation

Registration Deadline: July 22, 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:

T-shirt/Jersey Size: YS YM YL YXL AS AM AL AXL A 2XL

Fall Sports League Age for Soccer is on or before August 1st.

Soccer Under 6 Soccer Under 8 Soccer Under 10 Soccer Under 12 Soccer Under 14

Fall Sports League Age for Football, Cheerleading, Girls and Rookie Basketball: October 1st

A League Football (ages 12-13) B League Football (ages 10-11) C League Football  (ages 8-9)

Instructional Football (ages 6-7) A League Cheerleading (ages 11-13) B League Cheerleading (ages 8-10)

A League Girls Basketball (ages 11-13) B League Girls Basketball (ages 9-10)

C League Girls Basketball (ages 7-8) Rookie Co-Ed 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 to Alleghany, Clifton Forge and Covington 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.

Parents will be held responsible for seeing that all uniforms issued to their child is returned clean to the Bath County Parks and Recreation Department or coach at the end of the season.

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


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