Bath County Parks and Recreation
Registration Deadline: July 15, 2023
Child's Name: Date:
Address:
School: Age: Grade: Birthday:
Mother's Name: Home Phone: Mother Cell Phone:
Mother's Email: Work Phone Mother:
Father's Name: Home Phone: Cell Phone:
Father's Email: Father Work Phone:
Fall Sports League age for Soccer is on or before August 1st
Soccer under 6 Soccer under 8 Soccer under 10 Soccer Under 12 Soccer Under 14
Fall Sports League Age for Football, Cheerleading, Girls and Rookie Basketball: October 1st
**There is a possibility that 6th and 7th graders will be on a Middle School team with 8th graders**
*Age groups CAN change due to numbers *If Middle School team is created, there may not be A league
A League Football (Ages 11-13) B League Football (Ages 9-10) C League Football (Ages 7-8)
Instructional Football (Ages 5-6) *MIDDLE SCHOOL FOOTBALL (6th and 7th graders)*
A League Cheerleading (Ages 11-13) B League Cheerleading (Ages 8-10)
A League Girls Basketball (Ages 11-13) B League Girls Basketball (Ages 9-10)
C League Girls Basketball (Ages 7-8)
Yes, I would like to coach. Sport you want to coach
COACH**Parents/Guardians: our sports may be combined. Valley and Millboro children could be playing on the same teams. Also by signing your child up you are committing to traveling as needed to play games.
If uniforms are not turned in, the parents will be charged the cost of the uniform. The child will not be allowed to participate in any other programs sponsored by the Bath County Parks and Recreation Department unil the complete uniform/equipment or cost of the uniform is turned into the recreation department.
Please Initial and sign below:
I hereby agree to return and confirm all uniform/equipment to the Bath County Parks and Recreation Department. If not returned, I agree to pay the cost of the uniform/equipment.
I hereby give consent for my son/daughter to participate in the Youth League Sports sponsored by the Bath County Parks and Recreation Department, County of Bath, VA, and hereby waive and relinquish any and all rights of legal action or claims of said Department or the officers or members thereof, which might hereafter exist in the event of athletic injuries to said child.
Code of Standards for parents:
Parents shall be expected to demonstrate that they have an appreciation of the philosophy of youth league programs and cooperate with others in making the program of mutual benefit to all youngsters, further, parents are to show by example that they respect the judgement and position of authority of league referees and recreation department personnel. They are expected to instill in their children a respect for the authority of all adult leaders in the league.
Parent Signature
Date Parent's Signature
Please return signup form to the Recreation Department by November 12, 2022.
Forms can be mailed or dropped off at:
Bath County Parks and Recreations, 65 Panther Drive, Hot Springs, VA 24445 - Valley Elementary School or Millboro School Offices.
Emailed to: [email protected]
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