2019 AMSA Player Registration Form (Ayr Minor Softball Association)

2019 AMSA Player Registration Form

Division Selection

Please select one division from the options below. For players that tryout for a travel team but are not selected and will be playing on a local league team, the travel portion of the registration fee will be refunded.

Player Information

Please answer ALL sections marked with a red ASTERISK (*).

Primary Parent Information

This contact will receive an auto-reply email upon submission of form and will be the recipient of the final receipt.

Alternate Parent Information

Team Sponsorship

Medical Information

Emergency Contact

Payment Options

Cheque or cash must be received by March 10th to qualify for the early bird fee. EFT must be initiated by March 10th (payment may not necessarily be completed by that date). For EFT, once your registration is submitted, instructions will appear for completing the EFT.

Photo and Social Media Consent

We would be grateful if you would fill in this form to grant us permission to take photos/videos of your child during AMSA activities and use these in our printed and online publicity for fundraising, publicity, advertising, web content or other purposes to help achieve AMSA goals. This use may include our web site, social media, local newspaper articles, use by grant organizations such as Cambridge North Dumfries Community Fund for their promotion or other methods of promoting softball or AMSA. I, as parent/guardian, give permission to AMSA to take photos/video of my child for use as indicated. I understand that I may revoke this authorization at any time by notifying [email protected]. The revocation might not affect any actions taken before the receipt of this written notification. I understand that no payment will be made for the use of these photos.

PERMISSION & PRIVACY INFORMATION

I, the participant, and we the parents or guardians:

1. Understand that it is our responsibility to keep the team management advised of any change in the above medical information.

2. Permit AMSA and its representatives because of an accident / injury to administer first aid and/or medical attention at its discretion.

3. Hold harmless the organization and its directors, officers, and coaches from any liability for any reason, how so ever caused.

4. Agree to follow the rules of AMSA as applied to players and parents conduct at all games and practices.
5. Understand that smoking near children’s playgrounds and public sports fields and surfaces is prohibited by Provincial law.

AMSA agrees not to release any personal or private information to any third party other than for league and tournament play.

Office Use