BOOMER SPORTS COMPLEX

2012 SOFTBALL LEAGUE REGISTRATION

PLEASE PRINT LEGIBLY

TEAM NAME___________________________________USSSA# TO BE ASSIGNED BY OFFICE________________

CLASSIFICATION_____________________(MENS C,D,E, MIXED C,D, SENIORS.)

DAY___________________ LEAGUE (upper, regular, rec.)____________________

COACHES NAME______________________________________________________

COACHES ADDRESS__________________________________________________

CITY, & ZIP __________________________________________________

E-MAIL_________________________ CELL PHONE#______________________

HOME PHONE #___________________ WORK PHONE #______________________

ASSISTANT COACHES NAME____________________________________________

ASST COACHES HOME #___________________ CELL #______________________

BY SIGNING THIS REGISTRATION FORM, I AM TAKING FULL RESPONSIBILITY FOR PAYMENT OF ALL FINANCIAL OBLIGATIONS, REGISTRATION AND UMPIRE FEES DUE FROM THE ABOVE NAMED TEAM TO BOOMER SPORTS COMPLEX AND THE BOOMER UMPIRES, AND I UNDERSTAND ALL FEES (EXCEPT UMPIRE FEES) ARE DUE THE FIRST NIGHT OF LEAGUE PLAY. AT THE COACHES MEETING.. UMPIRE FEES ARE DUE ON THE FIELD AT GAME TIME. ANY ILLEGAL EQUIPMENT(BATS OR BALLS) ARE SUBJECT TO SEIZURE BY BOOMER SPORTS COMPLEX DIRECTOR

COACHES SIGNATURE______________________________________________________________________________

DATE_______________ DATE OF BIRTH______________

FOR OFFICE USE ONLY

DATE

METHOD

RECEIPT #

AMOUNT

BALANCE

BOOMER SPORTS COMPLEX 3820 E. I-240 SERVICE RD

P.O. BOX 5901 OKC, OK 73135

OKC, OK 73083

PHONE (405) 670-2255 FAX (405) 670-2255

boomer02@boomersoftball.com or boomer02@flash.net