Adult Co-ed Softball League Roster & Registration form

Registration Deadline June 13, 2014

TEAM NAME or SPONSOR __________________________ TEAM MANAGER ______________________________
FEES $225 per team plus $35 per person*/Team max $750** TEAM MANGERS PHONE _______________________ EMAIL
TOTAL ENCLOSED $ ______________________________ TEAM MANGERS EMAIL ________________________
*Fee includes an 8.7% sales tax fee. **A max team fee $750 only applies if paid in full, all at once.
REGISTRATION Only complete rosters with full payment will be accepted. All players and managers, must complete this roster (unless registering online) and sign the
waiver to be eligible to play. Managers who will be playing will need to add themselves to the roster below. Checks should be made payable to SWPRD. Send or bring complete
form & payment to SWPRD, 5475 Maxwelton Road, Langley, WA 98260.
LEAGUE INFO ADULTS 18+ ONLY. This is a clean, community oriented, alcoholfree league. ASA rules for softball will be followed, with a few revisions (rules will be
posted online). Teams typically play 2 games per evening, for a total of 14+ games, plus tournament. Teams will have byes. Games will begin at 6pm**. Fees cover the cost of game
balls, one umpire per game, field use, & tournament. Uniforms are not required or provided. Coordinator: Carrie (360)221-6788 programs@whidbey.com
SCHEDULE Fridays, 6pm*, Jun. 27Aug. 22**, Plus tournament on Sat, Aug 23. Team Managers meeting Mon, Jun. 16, at 6pm in the Crows Nest at Community
Park. *Games may be scheduled to start a little earlier in the evening depending upon daylight. **Games will be on Wednesdays, Jul. 2 & Aug. 13 instead of Fri that respective week.

Players Name (Print) Players Signature* Birth Date Sex Phone Email Emergency Contact Emergency Phone














*By signing above, I agree to hold harmless the South Whidbey Parks & Recreation District (SWPRD), its officials, its employees and agents for any and all claims for personal injury and damage in which
damage and injury is or appears to be proximately caused by my participation or the participation of the minor for whom I am responsible in this recreation program. Furthermore, I hereby consent that
images (photographs, video recordings, etc.) of me may be used for promotional purposes. I agree to abide by all rules and regulations governing SWPRDs Softball League which includes any
disciplinary measures, fines or suspensions levied by SWPRD. I ACKNOWLEDGE THAT I HAVE READ AND THAT I UNDERSTAND EACH AND EVERY ONE OF THE ABOVE PROVISIONS IN THIS
WAIVER, RELEASE OF LIABILITY AND INDEMNIFICATION AGREEMENT AND AGREE TO ABIDE BY THEM.
FOR OFFICE USE ONLY Method Recd By Date Amount Receipt #