TEAM NAME: AGE BRACKET:
HEAD COACH: PHONE #:
ASST. COACH: PHONE #
ASST. COACH: PHONE #

    PLAYER NAME         BIRTH DATE                            PARENTS SIGNATURE
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 Team Manager please read the statement below before signing.

 In consideration of being permitted to participate in the Greensburg Youth Sports Tournament. I herby agree for myself, successor, heirs, and assigns, release and forever discharge the Decatur County Parks Department, Greensburg Youth Baseball, their employees,    officers, and officials, from all claims, actions, and judgments, I have, or claim to have, for all personal injuries including death. Any damage to property both real and personal, caused by or arising from my participation in any Greensburg Youth Sports Tournament.

TEAM MANAGER:   DATE: