Please complete all fields

RM_Stats

PLAYER INFORMATION

TEAM^*

Player First Name^*

Player Last Name^*

Player DOB^*

Please contact us before you register if you are not sure if you are eligible to play!

Player Age^*

Player Address

Player City

Player State

Player Zip

Player Cell Number

Player Home Phone

School^*

Grade^*

Medical Info

Parent/Guardian #1 Information

P/G #1 First Name^*

P/G #1 Last Name^*

P/G #1 Email^*

P/G #1 Address^*

P/G #1 City^*

P/G #1 State^*

P/G #1 Zip^*

P/G #1 Home Phone

P/G #1 Cell Phone^*

P/G #1 Relationship to Player^*

Parent/Guardian #2 Information

P/G #2 First Name

P/G #2 Last Name

P/G #2 Email

P/G #2 Address

P/G #2 City

P/G #2 State

P/G #2 Zip

P/G #2 Home Phone

P/G #2 Cell Phone

P/G #2 Relationship to Player

Emergency Contacts:

MUST have at least one E-contact besides the Parents/Guardians listed above!

E-Contact #1 Full Name^*

E-Contact #1 Cell Phone Number^*

E-Contact #1 Relationship to Player

E-Contact #2 Full Name

E-Contact #2 Cell Phone Number

E-Contact #2 Relationship to Player

***YOU MUST SCROLL & READ EACH PARAGRAPH BEFORE YOU ARE ABLE TO SELECT THE CHECK BOX***

Parent Code of Conduct & Player Code of Ethics^*

We certify that we have went to the YPAC website, (ypacsports.com) and have read the parent & Player code of conduct/ethics.  We certify that we understand that we can be removed or banned from games for violating these rules.  Unsportsman like conduct will not be tolerated by players or adults.  Adults are not authorized to yell at players, coaches or referees during games.

We Certify

Refund Policy^*

Once game uniforms have been ordered, there are NO REFUNDS unless we are unable to field a team in your players’ specific age group.  Any refund issued will be minus a $3.20 processing fee.  Refunds will be issued by PayPal to the credit card used to pay.

I accept

Medical Insurance Policy^*

YPAC insurance is "SECONDARY" to your personal insurance provider unless you don't have personal insurance then it is the primary.  The insurance ONLY COVERS THE PLAYER during official game & practice times.  It does not cover siblings or other persons injured on the property at any time.  Per the agreement on the registration form, neither YPAC nor the Switzerland County School Corporation can be held liable.  YOU are responsible for your player outside of the official game & practice times and any other guests and siblings.  i.e If a player is injured at 5:55 because they are goofing off before the official practice starts at 6:00, YPAC insurance cannot be used.

I accept

Guest Policy^*

YOU are responsible for ALL guest at practice and games.  Any policy or rule violations by you or your guest will not be tolerated.  Action will also be taken against you if you are unable to keep your guests under control.  You and your guest may be asked to leave a practice or games or may be banned from future practices or games along with your guest.

I Accept

***YOU MUST SCROLL & READ EACH PARAGRAPH BEFORE YOU ARE ABLE TO SELECT THE CHECK BOX***

Parent/Guardian Consent^*

The information on this form will be kept confidential and used as a quick reference in the event of a medical situation.  I understand it is my responsibility to notify the YPAC Staff if any of the information on this form changes during the season. I hereby certify by signing below that the player listed above is in good health and is capable of participating safely in softball. The undersigned agrees to indemnify and hold harmless YPAC, its Successor and Assigns, Board Officers, Directors, Coaches/Assistant Coaches, Volunteers, Shareholders, Employees, Agents, their Heirs, Executors and Administrators as well as the Switzerland County School Corporation. I understand that every effort will be made to contact the primary and secondary emergency contacts on this form if time permits. I do hereby authorize any of the YPAC Staff to give advice and give consent with regard to the medical care and treatment of my player to emergency room physicians or to provide treatment in the event of an injury to my player in my absence.

I agree

Volunteer Options

Head Coach
Assistant Coach
Concessions

Select all that apply

Sibling name if in the same age bracket

SIGNATURE

First Name^*

Last Name^*

Registration Fee

ONLY CLICK SUBMIT ONCE!! Please wait until the info is submitted. It could take up to 1 minute depending on your internet speed!

Select a payment method^*

Note: It looks like JavaScript is disabled in your browser. Some elements of this form may require JavaScript to work properly. If you have trouble submitting the form, try enabling JavaScript momentarily and resubmit. JavaScript settings are usually found in Browser Settings or Browser Developer menu. .rm_next_btn {display:none !important} .rm_noscript_btn {display: block !important}

Total Page Visits: 885 - Today Page Visits: 2