2023 BNGSA In-Town SOFTBALL Registration

* Required Fields
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Fee: $110.00$10 DISCOUNT will be applied if payment is made before 2/1/2023
Please, complete the registration form below and submit your online payment through PayPal (you do not need a PayPal account to use this payment method) or send a check to: BNGSA, PO Box 673, Bloomington, IL 61702.
 
2023 FEE:
$110 for your first child and $90 for each additional sibling
$10 DISCOUNT for 8U
$10 DISCOUNT for all leagues if register and pay in January

NO REGISTRATIONS will be accepted AFTER March 31, 2023
Please consider making a DONATION to directly help families needing financial assistance.
Any family who feels the registration fee for BNGSA would be a financial hardship has the option to request a waiver or reduction in registration fee by February 28. To help as many applicants as possible, guidelines have been established and can be found here: Financial Assistance Application & Guidelines.
Complete BOTH the registration below AND the online Financial Assistance Application if you are requesting a waiver or fee reduction.
*How you heard about registration
Player Information
Registration Type
*First Name
*Last Name
*Street Address
*City
*Zip Code
Please double-check the PRIMARY PHONE and PRIMARY EMAIL fields for accuracy. These will be used by the coach to contact you. List an email you check regularly and a phone you can accept texts on so you do not miss important communications. 
*Primary Phone
*Primary Email
*Date of Birth
mm/dd/yyyy
*Age (as of 12/31/22)
Grade (2022-23)
*School
Years Played
Skill Level
Pitching Experience
Catching Experience
*Need BNGSA to provide batting helmet for season.
 Yes 
 No 
*Player's Shirt Size
Team Request
You may request being with a particular coach or on the same team with a friend. While we will attempt to accommodate your request, there are no guarantees.
Last season's coach
Return to the same coach?
 Yes 
 No 
 Doesn't matter 
*2023 Age Group (based on age as of 12/31/22)
 6-8 Instructional (coach pitch, 11" squishy softball) (-$10.00)
 10 and under (11" harder softball) 
 12 and under (recommended for those preparing for jr. high) 
 15 and under 
 19 and under 
2023 Friend Request
2023 Coach Request
*Which request takes priority?
Special Needs/Requests
Each of our 50+ teams are sponsored each year. Would you or someone you know like to sponsor a team? Visit the SPONSOR page for more details.
Potential Sponsor's Name
Potential Sponsor's Phone
Potential Sponsor's Email
Parent / Guardian 1 Information
*Guardian 1 First Name
Don't type in this field
*Guardian 1 Last Name
Relationship
Street Address
City
Zip Code
*Guardian 1 Mobile Phone
*Guardian 1 Email
Employer
*I would like to volunteer to be a/an
If you expressed an interest in being a coach, please also submit the electronic coach registration form AFTER completing and clicking SUBMIT for this player registration.
Parent / Guardian 2 Information
Guardian 2 First Name
Guardian 2 Last Name
Relationship
Street Address
City
Zip Code
Guardian 2 Mobile Phone
Guardian 2 Email
Employer
I would like to volunteer to be a/an
If you expressed an interest in being a coach, please also submit the electronic coach registration form AFTER completing and clicking SUBMIT for this player registration.
I would like to make a donation to provide financial assistance for a family in need.
Donation Amount
Medical & Media Waiver
I will allow my daughter to participate in the Bloomington-Normal Girls Softball Association Program. In the event of illness or injury, I hereby give consent for medical treatment and permission to the attending physician to hospitalize, secure proper treatment and order injections, anesthesia or surgery. Please note: Parents or guardians are responsible for any medical or other charges in connection with their daughter's participation in this program. I give the BNGSA permission to use my child's photographs and video for their website, social media, news releases, advertising or any other media to promote or advertise the BNGSA program. 
*Waiver confirmation
 I have read and agree with the medical & media waiver. 
BNGSA Code of Conduct Pledge
Review the information in the BNGSA Code of Conduct to understand your responsibilities.
*Code of Conduct for Parents
 All parents/guardians have read the code of conduct, and we pledge to provide support, care and encouragement for my/our child participating in fast pitch softball by following the BNGSA Code of Conduct for Parents/Guardians. 
*Code of Conduct for Athlete
 I have read the code of conduct and pledge to provide support, care and encouragement while participating in fast pitch softball by following the BNGSA Code of Conduct for Athletes. 
Refund Policy
Full refunds will be made as long as BNGSA receives written notification prior to March 31, 2020.
*Refund confirmation
 I have read and understand the refund policy. 
Total Due:
$ 
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