**The age of a player on December 31, 2010 determines the players division.**

NO PLAYER MAY BE MOVED UP A DIVISION. Players must be (4) by December 31, 2010 to be eligible to play. If player’s 19th birthday falls on or after January 1, 2010, she is eligible to play in the Debs division.

I, parent or guardian of the above named candidate for a position on a Winnsboro Dixie Softball, INC team, hereby gives approval to her participation in any and all Winnsboro Dixie Softball, INC activities during the current season. I assume all risk and hazards incidental to such participation including transportation to and from the activities; and do hereby waive, release, absolve, indemnify and agree to hold harmless the parent or local league organization, the organizers, sponsors, supervisors, participants, and persons transporting the girl to and from activities, for any claim arising out of an injury to the girl, except to the extent and in the amount covered by accident and/or liability insurance held by the local league.

I also grant permission to managing personnel or other league representative to authorize and obtain medical care from any licensed physician, hospital, or medical clinic, should the girl become will or injured while participating in league activities away from home or at other time when neither parent is available to grant authorization for emergency treatment.

I will furnish a certified birth certificate of the above named candidate upon request of league officials.

I agree to return any equipment issued to the girl in the same condition as when received, except normal wear.

Registration fees are used to pay for the child’s insurance, umpires fees, operating expenses, and her uniform shirt, which is hers to keep. Please mark the amount paid with this registration. If registering for more than one child, please include a separate registration form for each child. Please list below the names and ages of all players in siblings group.

Registration Fees-Please Check one

Parent or guardians, if you are interested in being a head coach or willing to serve ______Head Coach

as an assistant, please sign here, and indicate your preference in coaching. ______Assistant Coach

Signing here does not guarantee that you will be assigned to a coaching position.

______

Signature

Registration forms and fees are due by March 19, 2011, and may be mailed to the address above or dropped off @ Winnsboro Sports. If you have any questions, please contact Rebecca Davis @ 680-8512 or @ .

For Dixie Girls Use Only

Total Amt Paid ______

Cash____ Check # ______League Representative