** ADD $25.00--- Out of City Limit Fee **
**BY CHECKING THIS BOX, I CONFIRM THAT THE ABOVE INFORMATION IS CORRECT. I HEREBY RELEASE, THE PARKS & RECREATION DEPARTMENT OF THE CITY OF LIBERTY, THEIR EMPLOYEES, SPONSORS, AND COACHES, ETC. FROM LIABILITY DUE TO INJURY FROM MY CHILD'S PARTICIPATION IN THE SPORT OR SPORTS THAT ARE CHECKED BELOW. I ALSO UNDERSTAND THAT MY CHILD IS COVERED WITH ACCIDENT INSURANCE THROUGH EITHER MY EMPLOYER PLAN OR MEDICAID. I ALSO UNDERSTAND THAT IT IS MY RESPONSIBILITY TO BRING MY CHILD TO ALL SCHEDULED PRACTICES AND GAMES. I REALIZE THAT FOR A TEAM TO IMPROVE & MY CHILD'S SKILLS TO DE-VELOP, ATTENDANCE AT PRACTICES IS A MUST. I UNDERSTAND THAT PLAYING TIME IS SET WITHIN THE RULES SET FORTH BY THE YOUTH ORGANIZATIONS THAT THE LIBERTY RECREATION DEPT. IS AFFILIATED WITH, 1E, DIXIE YOUTH BASEBALL, S.C.A.P, AND THE TRI-COUNTYIPALMETTO ASSOCIATION.
**THERE IS NO PLAYING TIME THAT IS GUARANTEED BEYOND THE MINIMUM PLAYING TIMES SET FORTH WITHIN THE ABOVE MENTIONED ORGANIZATIONS & RULES.
(Subject to League Changes)
*Proof of Residency is Required- Water bill, Power bill, Drivers License, etc.
**Late fees will be applied to any forms taken after the posted sign up dates**