Winter Sports Reg. Electronically Submitted

Winter Sports Registration Electronically Submitted

Bath County Parks and Recreation, 65 Panther Road, Hot Springs, VA 24445

Phone Number: 540-839-7211 Fax: 540-839-5719

Email: sgwin@bathcountyva.org

Child's Name Date:

Address:

Address:

School: Age: Grade: Birthday:


Mother's Name:Home Phone:

Mother's Email: Cell Phone:

Work Phone:


Father's Name: Home Phone:

Father's Email: Cell Phone:

Work phone:


Leaque age for girls volleyball, teen volleyball and teen basketball is as of October 1st.

Girls Volleyball JR League (ages 8-10)   Girls Volleyball SR League (ages 11-12)

Girsl Teen League Volleyball (Ages 13-15) Boys Basketball JR League (Ages 8-10) Girls can play on this league.

Boys Basketball SR League (Ages 11-13) Girls can play on this league.

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


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

**Parents/Guardians: our sports may be combined.  Valley and Millboro children could be playing on the same teams.  Also by signing your child up you are committing to traveling as needed to play games.  

***Pleasebe advised that our age brackets are subject to change depending on the number of sign ups.

****Practices will begin in December 2018. Games will begin in January 2019.

PLEASE RETURN SIGN UP FORM TO RECREATION DEPARTMENT BY NOVEMBER 1, 2018.*Can be returned by hand, fax, mail, or email.

*PLEASE SEE REVERSED SIDE FOR ADDITIONAL DROP OFF LOCATIONS AND DATE

*Forms can be dropped off/ Filled out at the following locations and times:

Wednesday OCTOBER 24th:

-Bath County Parks and Recreation Building from 6-8pm

-Millboro Fire Dept: 56 TC Walker Rd, Millboro, VA from 6-8pm

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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 are 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 TGE PROGRAM OF MUTAL 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



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