MSA Junior Player Registration

Solution Graphics

Player #1 Information

Name:   Sex: Date of Birth:

Player's Age on 5/1/2012:       

Please Remember Shirts Do Run Small So Order Appropriately, No Changes After Order Is Placed!!  

Shirt Size: If you played last year, which team were you on:

Please list any physical conditions the Coach should be aware of, enter NONE if appropriate:

 

Player #2 Information
 

Name:   Sex: Date of Birth:

Player's Age on 5/1/2012:       

Please Remember Shirts Do Run Small So Order Appropriately, No Changes After Order Is Placed!!  

Shirt Size: If you played last year, which team were you on:

Please list any physical conditions the Coach should be aware of, enter NONE if appropriate:

 

Player #3 Information

Name:   Sex: Date of Birth:

Player's Age on 5/1/2012:       

Please Remember Shirts Do Run Small So Order Appropriately, No Changes After Order Is Placed!!    

Shirt Size: If you played last year, which team were you on:

Please list any physical conditions the Coach should be aware of, enter NONE if appropriate:

 

Parent / Guardian Address & Contact Information

Parent or Guardian Name:

Address: City: State: Zip:

Phone Number:      Emergency Phone:

E-Mail Address:

 

Support Your Team & MSA
MSA is a non-profit organization and is made possible by volunteers. Please let us know if you'd like to volunteer for any of the following positions: (Please check one or more)

Commissioner Head Coach Base Coach Team Parent Scorekeeper Concessions Fields Help Yearbook  Other

 


Please list any suggestions or special requests you might have for MSA:


By submitting this registration you agree as the Parent, Guardian or Participant 18 years or older, herby assume any and all liability and responsibility for injury to your child/self in any MSA related activity. I hereby release MSA from any such liability and assume all risk related to softball. 

   

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Madison Softball Association  -  P.O. Box 595 - Madison, Ohio 44057
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Last Updated: Tuesday, April 12, 2011

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