EAST YORK LADIES SOFTBALL ASSOCIATION

( ) NEW PLAYER ( ) RETURNING PLAYER

NAME: BIRTHDATE:

ADDRESS:

CITY: POSTAL CODE:

TEL : HOME: WORK: CELL:

EMAIL:

IF YOU ARE A RETURNING PLAYER - LAST EYLSA TEAM AND YEAR

IS THERE ANY REASON YOU CANNOT COMMIT YOURSELF TO ALL GAMES (NIGHT SCHOOL, SHIFT WORK, ANOTHER LEAGUE OR SPORT, ETC)? ( ) NO ( ) YES

POSITIONS PREFERRED TO PLAY: 1st CHOICE: 2nd CHOICE:

SHIRT SIZE: ( ) LARGE ( ) MEDIUM ( ) SMALL

IF YOU ARE A NEW PLAYER, PLEASE ANSWER THE FOLLOWING 3 QUESTIONS:

WHAT IS YOU BALL EXPERIENCE (LEAGUE, YEARS PLAYED, POSITIONS)?

ARE YOU A FASTBALL PITCHER? ( ) YES ( ) NO. IF YES, WHAT TYPE? ( ) WINDMILL ( ) SLINGSHOT

WHERE DID YOU HEAR ABOUT OUR LEAGUE?:

I HEREBY RELEASE THE EAST YORK LADIES SOFTBALL ASSOCIATION AND ITS REPRESENTATIVES FROM ALL CLAIMS FOR DAMAGES ARISING FROM AN ACCIDENT OR INJURY OR THE WILFUL NEGLIGENCE OF ANOTHER PARTICIPANT WHICH ARE CAUSED BY OR ARRIVE FROM THE PARTICIPATION OF THE APPLICANT NAMED DURING ANY PROGRAM OR ANY LOCATION WHERE THE PROGRAM IS BEING HELD.

        
DATE:     SIGNATURE:  ______________________________    
     
FEE:  $120.00 (INCLUDES PLAYING TIME AND NON REFUNDABLE BANQUET TICKET)