HANOVER SENIOR SOFTBALL

2012 Registration Form - Website

Registration Deadline:  February 21, 2012

Please Print

 

Name:   _________________________       ________________________     _______

                        Last                                                     First                                      MI

Nickname (Name you want to be called):         ______________________________

Address Line1:  _________________________________________________________

Address Line2:  _________________________________________________________

City:  ________________________  State: VA  Zip:_____________

County: ___________________  (Note: Hanover County Residents may be accepted before non-county residents)

Phone Nos: (Day) ___________________ (Evening) _________________ (Cell)_________________

Email Address:  _________________________________________________________________

Date of Birth:     (mm/dd/yy)______________________   Current Age:  ________

Emergency Contact:  ____________________________ Phone No:_____________________                       

 

1.  Preferred Position:  ________________________ (If outfield, be specific; LF,LC,RC,RF)

     Preferred Second Position: ______________________

 

2.  Other Positions You Can/Will Play: (Please check all that apply) 

1___     2___    3___    SS___    P___    C___    OF___

 

3.  Shirt Size: (Circle One)  SM   M   LG   XL   2X       Preferred Number:  _______

 

4.  Our League plays each Wednesday Night from early April through about the third week in September.  How many of these nights do you think you may have to miss this year?   ______

 

 

RELEASE AND WAIVER OF LIABILITY AND INDEMNITY AGREEMENT

 

In consideration of the acceptance of my application for registration in the Hanover Senior Softball League, I have and do hereby assume all risks connected with the Hanover Senior Softball activities.  I hereby for myself, my heirs, executors, administrators and assigns, waive and release and discharge any and all rights and claims for damages and/or losses which I may have against the Hanover Senior Softball League, its officers, board members and/or agents, for any and all activities connected with the Hanover Senior Softball League.  I understand the meaning of this Agreement and my signature hereon indicates that it is a voluntary act on my part.

 

Signature: __________________________________          Date: ___________________

 

Mail your completed registration form (both pages)

And your check for $65.00 (payable to Hanover Senior Softball)

To:  John Payne, 8145 Shady Grove Rd., Mechanicsville, VA 23111

 

www.HanoverSeniorSoftball.org


INFORMATION PAGE – Page 2

 

Print your name here:______________________________________________________

(This page will be separated from the first page)

 

I.                    Team Assignments:  We encourage each of you to be as flexible as possible concerning with whom you want to play.  Playing with different folks each year can be an enriching and rewarding experience and many new friendships have been formed this way at HSS.

In forming our teams each year, HSS will follow the following priorities in the order listed:

1.      Immediate family members. (Husbands, wives, sons, daughters, sisters, brothers.)

2.      Equality of team competencies. (Spreading out the talent)

3.      Significant Personal Needs.  (need to carpool over long distances, etc.)

4.      Avoiding pairing players who have significant personal differences.

5.      Other Personal Requests.  (Wanting to play with a close friend, neighbor, etc.) 

           

I want to be assigned to the same team as the following players:

Player’s Name

Relationship or Reason

1.

 

2.

 

3.

 

4.

 

 

            I will not play with the following players:

1.

2.

 

II.                 Leadership/Participation:  Please indicate if you may be willing to serve HSS is some capacity:  (Checking yes only obligates you to discuss the possibilities with a board member)

 

____ Yes, I would like to discuss with someone how I may become more involved in the leadership of HSS.  I am particularly interested in the following: (Check all that apply)

___ Tournament Food Com                 ___ Team Manager                  ___ Fall Ball Committee

___ Tournament Committee                  ___ Board Member                  __ Golf Committee

___ Banquet Committee                       ___ Rules Committee               __ Other/Not Sure

___ Team Assignment Committee                                                        

 

 

III.       Sponsors:  If you want to or know of a company that may want to be a team sponsor or otherwise donate to our league, please contact John Payne at 746-7090 or email johnpayne@msn.com.

 

IV.       Additional Suggestions/Comments/Concerns:

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