Midland United Girls Softball
P.O. Box 10574 Midland, TX 79702
www.midlandfastpitch.com
SPRING SEASON 2010

Player's Name:			Home Phone:
Address	City		State	Zip
Date of Birth		Age As of 01/01/2010
Current School	Grade
How many Seasons have you played softball?
Positions played
If a "Pitcher", how many years have you pitched?		If a "Catcher", how many years?
Have you been selected as an All-Star, and if so, how many years?

***********************Parent or Guardian Information************************

Father	Mother:
Employer:	Employer:
Work Phone:	Work Phone:
Cell Phone:	Cell Phone:
Email:	Email:
Emergency Contact:	Phone:

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If you wish a family doctor contacted in case of an emergency, list the doctor's name and phone number. If no doctor is listed your child will be taken to the emergency room at Midland Memorial Hospital for treatment. Your signature below allows a MUGS Board Member, or your daughter's Coach, permission to have your child treated if needed.

Doctor Phone

Parent Signature Date

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I hereby consent for the above girl to participate in the MIDLAND UNITED GIRLS SOFTBALL ASSOCIATION (MUGS) program. I understand that for my daughter to play, I must furnish a copy of proof of age. I also release MUGS and the City of Midland in the event of injury to said participant. I also acknowledge that all check payments to MUGS will be processed through Collectrite and are subject to a $35 fee, in addition to any fees charged by my bank, should the check be insufficient.

Parent or Guardian Signature:

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PLAYER'S SHIRT SIZE:	YS YM YL AS AM AL AXL AXXL AXXXL
PLAYER'S SHORT SIZE:	YS YM YL AS AM AL AXL AXXL AXXXL

Click Below to Register or "Reset Form" to blank.

IMPORTANT: You will NOT be considered "Registered" until we recieve BOTH the Registration form aboveAND payment below. Please select the division from the drop list and use the "Buy Now" button to submit your payment via PayPal. All major credit cards are accepted. You DO NOT need a PayPal account to purchase.

Registration

T-Ball 4-5-6 $60.00 Machine Pitch 8 Under $80.00 10 Under $80.00 12Under $80.00 14 Under $80.00 18 Under $80.00 2 Sisters $150.00 3 Sisters $220.00

MUGS Registration

FOR MUGS USE ONLY
Division (Circle One): TB 8U(Machine Pitch) 10U 12U 14U 16U/18U
Birth Certificate is on Record: Yes No
Cost: T-Ball $60 per player (no price breaks for sisters)
All Other: $80 for one player, $150 for two players, $220 for three players Late Signup Fee $10.00
Date: BOD Member:

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ASA REGISTRATION # Date: