CITY OF POTEAU RECREATION DEPARTMENT

Poteau Summer Youth Baseball/Softball Program

2017 Registration Form

 

AGE GROUP—PLEASE CHECK ONE

 

T-ball age cutoff:  (Must be Five by May 1st)

 

_____T-ball (girls and boys ages 5 & 6)

 

Boys Baseball age cutoff:  January 1                                                Girls Softball age cutoff:  January 1

 

­_____Coach Pitch (Ages 7 & 8)                                                              _____Coach Pitch (Ages 7 & 8)

                       

_____Baseball (Ages 9 & 10)                                                                  _____Softball (Ages 9 & 10)

 

_____Baseball (Ages 11 & 13)                                                                _____Softball (Ages 11-14)                  

 

 

Player name________________________________________   Date of Birth ______/______/_______

 

Address_________________________________________  City____________________  State_____

 

Home phone (          )__________-_____________  Cell phone (          )__________-_____________

 

Age___________________  Grade_____________________    Sex        M           F

 

 Team manager last year____________________________________

 

I DESIRE AND CONSENT TO MY CHILD PARTICIPATING IN THE POTEAU SUMMER YOUTH PROGRAM AND ENCLOSED IS $35.00 TO COVER COSTS OF ACCIDENT INSURANCE AND LEAGUE FEES.

 

Parent’s signature_________________________________________Date______/______/__________

Early Registration fee:  $35.00 (make checks payable to “City of Poteau”)

Early Registration deadline:  Friday, March 10, 2017
Late Registration fee:  $50.00 deadline: Friday, March 17, 2017
Return this form, $35.00 registration fee, and a copy of the child’s birth certificate (by mail or in person) to:

 

Poteau City Hall

Summer Youth Program

111 Peters
Poteau, OK 74953