AndroGov / Payment Center / 2024 Readfield Recreation T-Ball/Baseball/Softball Registration /

Payment Information

Please Do Not Complete The Following Field

Player Name*

Childs Birthdate*

Gender*

Male Female

Parent/Guardian Name*

Email*

Address*

City*

State*

ZIP*

Zip-Zip +4
Second portion of ZIP Code is optional.

Phone*

Phone Area Code-Phone 3-Phone 4 ext Extension

The success of our program depends on parent volunteers. Please indicate if you would be willing to help.

Team Coach

Assistant Coach

Help

No

Please list any medical conditions or concerns (asthma, allergies, etc…) to be brought to the coaches’ attention.

Release of Liability

Release of Liability The undersigned hereby releases the Readfield Recreation Association, the Town of Readfield, its agents and volunteers from any and all claims, suits, actions, and damages arising out of, connected with, or resulting from participation in this activity. I understand there are inherent risks and dangers in participating in these types of activities. I accept responsibility for my child/ children.

Yes*

Yes

Payment Amount

Registration fees are as follows (Maximum per family $150)

Sign up*

late fee of $10.00 per child, that signs up after 3/08/24
$10

Payment Amount*

$

AndroGov

Online Payments for Governments and Schools

2024 Readfield Recreation T-Ball/Baseball/Softball Registration

Payment Information

Release of Liability

Payment Amount

Dialog Title