Registration Form

Hillsboro Youth Athletic Association Home About The HYAA Registration Form Parents Code of Ethics Contact Us Directions Recent and Upcoming Events Soccer Basketball Cheerleading Softball Baseball Farmball and T-ball HYAA Photo Album		H.Y.A.A. Registration Form PO Box 1424, Hillsboro, NH 03244 www.hyaanh.org Registration forms must be postmarked by: Baseball - February 1st, Soccer - June 1st, Basketball - October 1st Fees: $50.00 per child           $40.00(for each additional child in a family)          $15.00 late fee if received after the deadline                                                                                         Last Name:___________________________                                    please print Street Address:________________________                         ________________________ Parent Name(s):________________________                                    please print Parental Support: Please check the areas in which you can help: Coach:______       Assist. Coach:_______ Scorekeeper:_________      Umpire:_____ Referee:______     HYAA board member:_____ NO REFUNDS AFTER REGISTRATION Registrations received after deadline date will be put on a waiting list. First Name:____________________________                                       please print Date of Birth:___/___/___   Sex:  M   F   GRADE:______ Home Phone:_______________________ Cell Phone Numbers:_________________ Please list any medical conditions or medications taken: ___________________________________________ ___________________________________________
		Any coach or assistant will be required to submit to a New Hampshire Criminal Background Check. ________________________________________________________________________ I give my child______________________permisiion to play sports with the HIllsboro Youth Athletic Association.  I understand that neither the Town of Hillsboro, the HYAA, nor  persons representing or associated with the league will be held responsible for any injury as a result of my child's participation.  I authorize the coaches to act for me according to their best judgment in any emergency requiring medical attention for which services I will pay. Signature of Parent/Guardian:_____________________________________________ Date:_______________________ Print a copy of the parents' code of ethic, sign and return with registration form.