2008 ASA 18U 'A' National Champions

Lemont, Illinois                                                                 Commitment to Excellence

Rockers Fastpitch

ROCKERS 18 DD 2008 CHICAGO METRO CHAMPIONS ... BACK TO BACK 2007 2008 ... LAND OF MILK 'N' HONEY BABY ..



ROCKER TRYOUT PROFILE FORM

   
Birth Date  (mm/dd/yy)   Example:  02/27/89      Age on 12/31/10 
Player's Information Name 
Address 

City 
      Zip 
Home # 
  Alternate #

Email 
2009-2010 Previous Softball Experience Team 
Primary Position 
Secondary Position 
2008-2009 Previous Softball Experience Team 
Primary Position 
Secondary Position 
2007-2008 Previous Softball Experience Team 
Primary Position 
Secondary Position 
Bats      Comments 
Throws      Comments 
Hitting Coach   Contact #  
Pitching Coach   Contact #  
List types of pitches you throw and the speed
(if known) of those pitches
   Speed
   Speed
   Speed
   Speed
   Speed
   Speed
Current Grade    Graduation Year 

High School

What high school do you or will you attend?
GPA/Scale        ACT       Class Rank 
Other Sports? Does your daughter play other sports?    Yes     No
If YES, please list the other sports: 
College Softball? Does your daughter plan to play college softball?    Yes     No
At what level 

Please use the following space to provide any additional information you feel is important or noteworthy.

Mother's Information Name 
Address 

City 
      Zip 
Work # 
  Cell #
Father's Information Name 
Address 

City 
      Zip 
Work # 
  Cell #
Parent's Email Primary Email 
Secondary Email 

ROCKERS WAIVER AND RELEASE OF ALL CLAIMS

Please read this form carefully and be aware in registering your child/ward for participation in the softball program you will be waiving and releasing all claims for injuries your child/ward might sustain.

I recognize and acknowledge that there are certain risks of physical injury to participants in the program, and I agree to assume the full risk of any injuries, including death, damages or loss, regardless of severity, which my child/ward may sustain as a result of participating in any and all activities connected with or associated with such program.

I agree to waive and relinquish all claims my child/ward may have against the Rockers Softball Association and its officers, directors, coaches, officials, and/or representatives as a result of participating in the program.

I do hereby fully release and discharge the Rockers Softball Association and its officers, directors, coaches, officials, and/or representatives from any claims from injuries, including death, damage or loss, which I or my child/ward may have or which may accrue to me or my child/ward and arising out of, connected with, or in any way associated with the activities of the program.

I further agree to indemnify and hold harmless and defend the Rockers Softball Association and its officers, directors, coaches, officials, and/or representatives from any claims from injuries, including death, damage or losses sustained by my child/ward arising out of, connected with, or in any way associated with the activities of the program.

I have read and fully understand the Waiver and Release of All Claims.   

       

 

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