Summer 2022 Flag Football

Summer 2022 Flag Football

Summer League Flag Football

Ages 7-12      REGISTRATION DEADLINE: June 3, 2022

Child's Name:  

Address:  

School:  Age:  Grade:  Date of Birth: 

Mother's Name:  Home Phone: 

Mother Cell Phone:  Mother work phone: 

Mother's email: 

 Father's name:  Father's Home Phone: 

Father's Cell Phone:  Father's Work Phone: 

Father's Email: 

T-Shirt/Jersey Size (Please Circle Size--)  YS YM YL YXL  AS AM AL AXL A-2XL

Teams will be divided into different age groups depending on number of signups. If not enough signups, teams will not be created.

YES I WOULD LIKE TO COACH

*****Parents please be advised that our sports will be 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 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/Guardian Signature  Date: 

Forms can be mailed or dropped off at:

Bath County Parks and Recreation

65 Panther Drive

Hot Springs, VA 24445

Fax: 540-839-5719

Emailed to: [email protected]

 

 

 

 

 

 



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