BOOMER SPORTS COMPLEX

20010 SOFTBALL LEAGUE REGISTRATION

PLEASE PRINT LEGIBLY

TEAM NAME___________________________________USSSA#________________

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 THR FIRST NIGHT OF LEAGUE PLAY. AT THE COACHES MEETING.. UMPIRE FEES ARE DUE ON THE FIELD AT GAME TIME.

COACHES SIGNATURE______________________________________________________________________________

DATE_______________ DATE OF BIRTH______________

FOR OFFICE USE ONLY

DATE

METHOD

RECEIPT #

AMOUNT

BALANCE

BOOMER SPORTS COMPLEX	3820 EAST I-240 & SUNNYLANE
P.O. BOX 95306	(405)670-BALL  (405)670-2255
OKLAHOMA CITY, OK 73143	FAX (405)670-2396
boomer02@flash.net or boomer02@boomersoftball.com