Contact

Contact

April Watson, president

April@columbiagirlsfastpitch.com   OR   phone: 931.374.8993

Brenda K. Boles, vice president

Brenda@columbiagirlsfastpitch.com   OR   phone: 931.215.2092

Tyler Scroggins, player agent (6U + 8U)

Tyler@columbiagirlsfastpitch.com   OR   phone: 931.994.2626

Jon Townsend, player agent (10U + 14U)

Jon@columbiagirlsfastpitch.com   OR   phone: 931.398.0640

Kayla Sims, secretary

Kayla@columbiagirlsfastpitch.com   OR   phone: 931.215.9744

 

 

 

 

 

 

 

 

 

 

2019 CGFP Fall Registration Admin Only

  • Player Information

  • Please put all positions played. If new player, put "None".
  • Please list name and age of each sibling who plays in CGFP.
  • Parent/Guardian Information

  • Home, Another Cell #, or Work #
  • Home, Another Cell, or Work #.
  • Emergency Contact Information

  • Put "None" if applicable.
  • Medical Authorization

  • Grant of Consent

    In the event reasonable attempts to contact the parents or guardians have been unsuccessful, I hereby give my consent for:

    1. The administration of any treatment deemed necessary by preferred doctor/dentist or in the event designated doctor/dentist is not available, by another licensed physician or dentist.
    2. The transfer of the child to preferred hospital or any hospital reasonably accessible.

    OR

    Refusal of Consent

    I DO NOT give consent for emergency medical treatment of my child. In the event of illness or injury requiring emergency treatment, I wish the Columbia Girls Fastpitch to take no action or to perform the following actions (please state actions in following field).


  • If you do give consent to emergency medical treatment, please provide preferred doctor and dentist name and number in the following box. If you do not give consent to emergency medical treatment, please list preferred actions that should be taken if any in the event of an emergency.
  • Please type your full name to serve as signature for the above medical authorization.
  • Other Information

  • Coach Preferred? Do not place on ________ team?
  • This field is for validation purposes and should be left unchanged.