Adult Athletic League Registration Form

Adult Athletic League Registration Form
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A $100 non-refundable deposit is required when registering in person
Balances not paid by the registration deadline may result in loss of $100 deposit and league participation
Official Rosters must be turned in the first day of games with all information completed
Please fill out the form below including your email address which we use for league communication
Adult Softball
League:
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Summer Men’s Competitive
Summer Church
Fall Men’s Competitive
Fall Church
141419-A
141419-B
241419-A
241419-B
($625 / $675)
($625 / $675)
($575 / $625)
($575 / $625)
141404-A
141404-B
($400)
($400)
Adult Flag Football
___ Summer Competitive
___ Summer Recreational
Team Name:
Captain’s Name:
Birth Date:
Address:
City:
State:
Zip:
Home Phone:
Cell Phone:
Email Address (required):
Office Use Only
Total Paid: $ _________
Date: _________
Cash: _________
Accepted by: _________
Check: #_________
C.C.: #______________________________________________
Master Card or Visa
Cardholders Signature: __________________________________________
Exp. Date: _________
Auth: #_________