Name:_______________________________ Grade:_____________________

Address:_____________________________ Phone:_____________________

Emergency Phone______________________ Cell Phone__________________

City:________________________________ Zip: _______________________

School_______________________________ HS Coach_________________________

HS Coach Phone #__________________

Email_______________________________ Age_______ Birthday____________________

Parents/Guardians Names ____________________ _________________________

Please list three positions you desire to play, in order of preference:

1. ____________ 2. __________________ 3. _____________

Emergency Contacts:__________________________ _________________________

T-shirt size: (circle one) Adult S M L XL XX

Short Size: (circle one) Adult S M L XL XX

Make Checks payable to: Grand Lake Thunder Bats

Release Form

By signing the waiver, I _________________, will not hold any organizers’ or coaches’ of the Grand Lake Thunder Bats Fastpitch Softball summer travel team responsible for any injury taken place during practice or games while participating with the Thunder Bats. I understand that by signing this form I am releasing all coaches and organizers’ involved with the Grand Lake Thunder Bat program of responsibility for any injury that may occur. I hereby give my permission for my daughter, ______________________, to participate in the summer program.

______________________________ _________________________

Player Signature Parent or Guardian Signature