LB/OC Surf & Sun Softball League

Registration for 2008 Spring

LB/OC Surf & Sun Softball League
Open Division Membership Application

Applicant Information

First Name:

Last Name:

Date of Birth
(mm/dd/yyyy):

Home Phone:

Cell Phone:

Mailing Address1

Mailing Address2:

City:

State:

Zip

Email Address

Check here if you do not want your email address added to the Surf & Sun mailing list

How Did You Hear About Us:

Non Resident (outside LA/OC/Riverside):

Non Gay:

Emergency Contact

Name of Person to contact in an emergency:

City:

Phone:

Team Affiliation

Team Affiliation:

Rating/ Classification (if Known):

Years Playing Softball:

Release Waiver & Assumption of Risk

In consideration of this application, I hereby agree to release, indemnify, and hold harmless The LB / OC Surf & Sun Softball League, its officers and / or its representatives from any claim arising out of injury that I may sustain as a team participant or spectator. Further, I understand that the league does not furnish any medical insurance.

I understand that my likeness may appear in standard League photographs, and hereby relinquish all rights to said likenesses.

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