Registration Deadline : November 30, 2023.
Child's Name: Date:
Address:
School: Age: Grade: Birthday:
Parent/Guardian: Home Phone:
Cell Phone: Email:
Work Phone:
Parent/Guardian: Home Phone 1:
Cell Phone 1: Email:
League age for volleyball and basketball is as of October 1st.
Girls Volleyball JR. League (Ages 8-10)
Girls Volleyball SR League (Ages 11-13)
Girls Teen League Volleyball (Ages 14-15)
Boys Basketball JR League (Ages 8-10) Girls can play on this League
Boys Basketball SR League (Ages 11-13) Girls can play on this League
Teen League Basketball (Ages 14-15)
Rookie League Basketball (Ages 5-7)
Yes, I would like to Coach. Sport, you want to Coach.
*Parents/Guardians/Coaches: 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 for games and practices.
**Please be advised that our age brackets are subject to change depending on the number of sign ups.
***Practices will begin in December 2023. Games will begin in January 2024.
*PLEASE SEE REVERSED SIDE FOR ADDITIONAL INFORMATION*
*Forms can be dropped off/ Filled out at the following locations:
Bath County Parks and Recreation Office,
Valley Elementary School and Millboro Elementary School
Online Registration Available Online at:
http://www.bathcountyva.gov/government/parks_and_recreation/parks_and_recreation_forms
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Parents/Guardians: Uniforms must be returned by the end of the season, clean and in as good a condition as when received except for normal wear and tear. Failure to return within 10 days of the last game will result in a fee to be assessed. In the event a player quits or is removed from the team, the uniform must be returned within 5 days of termination date.
Your child will not be allowed to participate in any other Bath County Parks and Recreation sport until the entire uniform is returned or fees are paid.
Volleyball Jersey: $25
Basketball Uniform (Jersey and Shorts): $50
Please initial and sign below:
I/We hereby agree to return the entire uniform that was provided for my child to the coach or to a Bath County Parks and Recreation employee. If the uniform/equipment is not returned, I agree to pay the cost of the uniform.
I/We hereby give consent for my son/daughter/grandchild to participate in the Youth League Sports sponsored by the Bath County Parks and Recreation Department in Bath County, VA.
I/We know that participation in sports may result in serious injuries, and do hereby waive, release, absolve, indemnify and agree to hold harmless the Bath County Parks and Recreation Department, the organizers, sponsors, supervisors, participants and coaches from any claim arising in the event of 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. 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.
SIGNATURE OF PARENT/ GUARDIAN DATE
Security Measure