Southern Illiana Sharks

Softball Tryout Registration Form

8U 10U 12U
*Circle all interested in*

Player Legal Name___________________________________Nickname___________________________

Date of Birth: ________/________/_________ Bats: R L S Throws: R L

Position #1 _______________ Position #2 _____________Position #3 _______________ (trying out for)

High School player will be attending _____________________________Current Grade ______________

Mailing Address ________________________________

______________________________________________

1st Parent Name _________________________________Email:________________________________

Phone# (can receive text messages, YES/NO) _______________________________________________

2nd Parent Name _________________________________Email:________________________________

Phone# (can receive text messages, YES/NO) ________________________________________________

1. Did your Child participate in any league or travel program? YES/NO How many years have they played?
__________________ If Yes, What was name of team? ________________________________________

2. List ALL positions played in the last year:

_____________________________________________________________________________________

3. Provide one coaching reference: (Name & Phone #)

_____________________________________________________________________________________

*Please use to list any additional information about your child (limitations, Allergies, Awards received, camps attended, etc.
_______________________________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________________________

*Waiver of Liability, Release, Assumptions of Risk & Indemnity Agreement” The Participant and/or Participant’s guardian(s) acknowledge and assume ALL risks
inherent with participating in this program/tryout I, the parent/guardian of the above-named Participant, hereby give my consent for their participation in “Southern
Illiana Sharks” program tryout. Also, I hereby release, indemnify and agree to hold harmless “SI Sharks” and any of its directors, officers, coaches, agents, affiliates,
sponsors, and associated personnel against any legal claim by or on behalf of the participant as a result of participation in the program. I also give my consent for all
medical care prescribed by a medical doctor, EMT or nurse to preserve the physical wellbeing of my child. By signing this I accept the terms of the aforementioned
Waiver of Liability, Release, and Assumption of Risk & Indemnity Agreement.

Parent/Guardian Signature _____________________________________________Date ________________________

‘FEAR THE FIN’