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MSA Player Registration

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Player #1 Information

Name: Sex: Date of Birth:

Player's Age on 1/1/2008: Select League:

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 1/1/2008: Select League:

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 1/1/2008: Select League:

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:

Address & Contact Information

Address: City: State: Zip:

Phone Number: Emergency Phone:

E-Mail Address:

Parent / Guardian Info for players under 18

Parent or Guardian Name: 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 you might have for MSA:

As Parent, Guardian or Participant 18 years or older, I herby assume any and all liability and responsibility for injury to our child/self in any MSA related activity. I hereby release MSA from any such liability and assume all risk related to softball. (box must be checked to sign-up)

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Madison Softball Association - P.O.Box 595 - Madison, Ohio 44057
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Last Updated: Friday, May 09, 2008

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