All participants are required to have a current membership to the Boys & Girls Club of Hot Springs. Membership runs from September 1 – August 31^st. Membership cost $25.00 Sports Registration Fee of $40 per participant per sport.

Please mark which sport you are registering for:

Fall Baseball: _____ Flag Football: _____Volleyball:_____ Basketball:_____ Spring Baseball:_____

Player’s Name:________________________________________________________

Address:_____________________________________________________________

Home Phone: ________________ Cell Phone:_______________________

Date of Birth:________________ School:__________________________

League Age as of (April 30 for baseball, Sept. 1^st for other sports):_______________

Did child play in same league last year? If so please list team child played for:_________________________________________________________________

Does parent want to coach:______________________________________________

Does parent want to sponsor:____________________________________________

Child’s shirt size: YS YM YL AS AM AL AXL

Certain sports select all star teams at the end of the season to represent the Boys & Girls Club in tournament play. If your child is selected to be on an all star team there may be additional cost to the parent (uniforms, travel, etc.) and additional time required for practices and games (possibility of Sunday participation required). If you do not wish for our child to be eligible for all stars please mark the appropriate spot on this form.

_____My child does NOT wish to participate in All Stars.

Parent/Guardian Signature Date

Please return form and payment to:

Boys & Girls Club of Hot Springs, 109 West Belding,

Hot Springs, AR 71901