Therapeutic Recreation for the Disabled, Inc.

Adult Softball League Player Registration Form

Please Print Registration Fee: $20

All fields marked with * are required.

Spring Summer Fall
Male Female
S M L XL
Yes No

I acknowledge that I, the participant, (or authorized guardian) will be using the facilities and participating in this softball league at my (his/her) own risk and I hereby release Therapeutic Recreation for the Disabled, Inc., and its employees and volunteers from liability due to bodily injury and/or damage to property of the participant. I understand that every effort is made to protect the safety of each participant, however, there is risk of injury due to the nature of the activity. I furthermore understand that efforts will be made to contact the emergency contact provided above in the event of an emergency, however, if an emergency contact cannot be reached, by signing below, I hereby authorize an agent or designee of Therapeutic Recreation for the Disabled, Inc. to take such measures and arrange for medical and/or hospital treatment in my behalf. Also by signing below, I understand that my likeness or photos of myself may be used in publicity, brochures or other media.

Enter your Billing Information

 

NEW!!!! Volunteer Information Our league is run by volunteers and we're always looking for help. This year, we're creating a boosters organization (anyone can join.) Please provide your information below and a member of our Boosters Team will contact you.

Please mail this form with $20 registration fee to: 243 S. Gersam Avenue, Hamilton, Ohio 45013
Make Checks Payable to Therapeutic Recreation

The Joe Nuxhall Miracle League Fields 501(c)(3)
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