The Board
 
 


Registration
Do you have a Oldsmar City Recreation Card?
You will not be able to complete filling this form without the rec card number.
Please click on the following link to get your rec card number
http://www.ci.oldsmar.fl.us/Leisure_Svcs/ls_forms.htm
Rec Card#:
Player Information
Player Name:
First Name Last Name
Street Address: City:
State: Zip:
Home Phone: Player Email:
Birthdate:   Gender: M   F
 
Month
Day
Year
     
 
Parent/Guardian #1
Name:
Phone: Work Phone:
Cell Phone: Email:
Relationship to Player: Father   Mother   Guardian
Volunteer?: If checked, fill out Volunteer Application Form
Parent/Guardian #2
Name:
Phone: Work Phone:
Cell Phone: Email:
Relationship to Player: Father   Mother   Guardian
Volunteer?: If checked, fill out Volunteer Application Form
Medical Information
Emergency Contact Name: Emergency Contact Phone:
Relationship to Player:    
Insurance Carrier:
Allergies & Limitations:    
Uniform Information
Shirt Size:








 

  Pants Size:






 

 
Terms and Agreement
Accept Terms and Agreement