<p>RUTLEDGE SOFTBALL 2016 REGISTRATION INFORMATION</p><p>Welcome to Rutledge Softball 2016! We welcome players of all ages and skill level. We focus on teaching the fundamentals of the game, improving players' skills and (most importantly!) having fun. We are currently accepting registrations for girls between the ages of 6 and 12. Players can register two ways this year: by mail or at an in person registration session in February (date TBD).</p><p>The 2016 registration fee is $95. What you need to register:  Completed registration forms (included in this document)  A copy of your daughter's birth certificate (new players only)  A recent wallet-size photo  Check (made payable to Rutledge Girls Club) or cash for registration fee</p><p>The in-person registration will take place in February at the Rutledge Borough Hall located at the corner of Sylvan Avenue and Unity Terrace in Rutledge. Watch your email for the date.</p><p>Practice begins on Saturdays and one week night per week in mid- to late March (weather permitting), and will be held the Rutledge Triangle Park (corner of Rutledge Avenue and Waverly Terrace). Practice times for various age groups have not been determined yet. </p><p>Rutledge Softball completes in the Del Val League, which includes teams from all areas of Delaware County. Our season begins in April and teams average two games a week. Home games are played at Rutledge Triangle Park. Away games will depend on what teams are in our division, but will be similar to last year's (e.g, Ridley Park, Prospect Park, Swarthmorewood, Nether Providence, Media, Folsom, etc.).</p><p>Please contact Margie Corcoran, President of the Rutledge Girls Club, at [email protected] or at 610-506-5900 if you have any questions or need more information.</p><p>Rutledge Girls Club 2016 Softball Registration</p><p>Revised: Monday, April 23, y Child’s Name: ______Age: ______</p><p>Address: ______</p><p>______Date of Birth: ______</p><p>Parent/Guardian #1: ______Parent/Guardian #2: ______</p><p>Home Phone # ______Parent 1 Cell # ______Parent 2 Cell # ______</p><p>OK to text game/practice info: Y N</p><p>Parent #1 email address: ______Parent #2 email address: ______</p><p>Indicate Team You are Registering For:</p><p>______Farm (Did not turn 9 before Jan. 2, 2016) ______Pee Wee (Did not turn 11 before Jan. 2, 2016) ______Midget (Did not turn 13 before Jan. 2, 2016)</p><p>Any special concerns for your child? ______</p><p>Parent willing to help coach: Yes No Maybe</p><p>Parent/Guardian Signature: ______</p><p>Date: ______</p><p>Revised: Monday, April 23, y Rutledge Girls Club 2016 CONSENT TO TREAT</p><p>This is to certify that I, ______, as a parent/guardian of (name of parent or guardian)</p><p>______, give my consent to the Rutledge (player’s name)</p><p>Girls Club and its medical representative to obtain medical care from any licensed physician, hospital, or clinic for the above-mentioned athlete for any injury that could arise from participation in Club activities.</p><p>If said athlete is covered by any insurance company, please complete the following:</p><p>Name of Carrier: ______</p><p>Policy Number: ______</p><p>Name of Primary Insurance Holder: ______</p><p>Parent/Guardian Signature: ______</p><p>Relationship to Athlete: ______</p><p>Home Address: ______</p><p>Contact Phone #: Home: ______Cell: ______</p><p>Date: ______</p><p>Revised: Monday, April 23, y Rutledge Girls Club 2016 Medical & Emergency Information</p><p>Player’s Name ______Age: ______</p><p>Parent/Guardian #1 </p><p>Name ______Phone: ______</p><p>Parent/Guardian #2 </p><p>Name ______Phone: ______</p><p>Emergency Contact: (in event parent cannot be reached)</p><p>Name: ______Phone # ______</p><p>Please list any allergies/medical issues we should be aware of: </p><p>______</p><p>Physician’s Name: ______</p><p>Phone Number: ______</p><p>I/We, the parents/guardians of the above named player hereby give my/our approval to participate in any and all Rutledge Girls Club activities, including transportation to and from the activities. </p><p>I/We know that participation in softball my result in serious injuries, and protective equipment does not prevent all injuries to players. Therefore, I/we do hereby waive, release, absolve, indemnify, and agree to hold harmless the Rutledge Girls Club as well as the organizers, sponsors, supervisors, participants, coaches and persons transporting my/our child to and from activities for any claim arising out of any injury to my/our child regardless of the cause.</p><p>Parent/Guardian Signature: ______</p><p>Date: ______</p><p>Revised: Monday, April 23, y</p>