All-Star Softball Showcase Package DETAILSCongratulations on the All-Star selection of your player. Please complete this form and submit ASAP. All forms must be submitted online, but you can click on the following link to print out a blank copy: Softball Showcase Form. This can be given to and signed by the parent.MEDICAL / PHYSICALPlease upload your child's physical here. It is required This can be done by scanning the physical to your computer and uploading here. A parent can take a picture of their child's physical and upload it below...either from their computer or phone.Player Physical*Max. file size: 12 MB.PLAYER INFORMATIONPlayer Name* First Last Email* Player Picture*Max. file size: 12 MB.Gender*Select GenderGirlBoyGrade*Select YearSeniorJuniorDate of Birth* MM slash DD slash YYYY Place of Birth* High School* Coach's Name* First Last Coach's Email* Coach's Cell Phone*Weight* Height* Shoe Size* Shirt Size* Pant Size* Dominant Hand*Select OneRight HandLeft HandAddress*This is the address where your picture will be sent. Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Will you be on scholarship for college?*Select OneYesNoNot known yetPlease give us the name of college/university* Will you attend college if you do not have a scholarship?*Select OneYesNoWhere will you attend?* List all high school sport honors*350 character maxList all academic organizations that you belong to:*350 character maxPlease describe the most memorable sporting event that you were involved in:*350 character maxDo you have asthma or allergies?*Select OneYesNoPlease explain* Do you have diabetes?*Select OneYesNoDate of last tetanus shot?* MM slash DD slash YYYY PARENT/GUARDIAN INFORMATIONParent/Guardian Name* First Last Email* Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Parent/Guardian #2 Name First Last Home Phone*Cell Phone*Night-Time Phone*Are you covered by insurance?*Select OneYesNoInsurance Company* Group Number* Policy Number* Branch of Service* Is your child allergic to any medicine?*Select OneYesNoPlease list* Is your child taking any medications?*Select OneYesNoPlease list* Please list any serious injuries, illness or circumstances we should be aware of before administering care:*Enter N/A is this does not apply to youDo you know of any reason why you should not participate in the all-star game?Select OneYesNoPlease Explain:*EMERGENCY CONTACTEvery attempt will be made to contact you in case of injury. Should this not be possible or practical, please list the name of a relative who can authorize treatment.Name* First Last Relation* Phone*SIGNATURES/ATTESTATIONSPlayer Attestation* I hereby accept the Georgia Athletic Coaches Association's invitation to play in the North-South All-Star Softball Showcase being held at West Georgia Softball Complex. I agree to abide by the rules and disciplines set forth by the officials of the Georgia Athletic Coaches Association. I understand that I am to report to Carrollton, Georgia on Wednesday, June 9th, 2021 at the University of West Georgia Softball Complex between 8:30 - 9:00 AM. The All-Star Fast Pitch Softball Game will be played on June 9, 2021 at West Georgia Softball Complex, in Carrollton, GA. Parent Attestation*Please check all: I verify that the above information to be true and accurate to the best of my knowledge. I do hereby approve emergency treatment, as deemed necessary, by the hospital and/or medical staff (physician, athletic trainer)on site for my son/daughter listed above. I give this consent with full knowledge and assumption on my part for any and all financial responsibilities incurred as a result of participation in the All-Star Softball game and practices. My insurance company will serve as the primary coverage for my child. The Georgia Athletic Coaches Association's insurance will be secondary insurance. I hereby give my consent for the student named above to engage in approved sports activities, related to the North-South Softball All-Star camp and Game. It is my clear understanding that participation in athletics activities (e.g. football, basketball, baseball and softball) creates a risk normally associated with such activity. I agree not to hold the Georgia Athletic Coaches Association or anyone acting on its behalf responsible for any injury occurring to my son/daughter in the proper course of such athletic activities or travel. I further give my permission for the appropriate all-star association staff members or their designees (physicians, athletic trainers, student trainers, coaches) to render emergency treatment or authorize medical treatment by a hospital and/or physician or medical staff. Player Signature*Parent/Guardian Signature*PaymentIf paying online, please click the submit button once. You will be directed to PayPal for payment. If paying by mail, please mail check to: GACA PO BOX 597 ELBERTON, GA 30635 Submission of form without payment does not qualify your athlete for the All-Star game. Payment must be collected in order for your athlete to participate in the All-Star game.How will you be paying?*Select OneBy MailOnlineAll-Star Cost* Price: Processing Fee* Price: Total $0.00
