Newtown Women’s Softball

2003 Registration

 

ELIGIBILITY: Any female, 18 or older, who lives and/or works in Newtown. New players must attach a copy of their license (to prove residency) and/or a copy of pay stub for employment verification (amount may be blacked out).

 

League play begins in June and ends in late August.

 

Please complete the following:

 

Name

 

Date of birth                                                                       check if returning player, new address

 

Address

 

Business name/address if not resident

 

Phone (day)                                        (evening)                                                (cell)

 

Email

 

Team preference                                                                                                               if none, check here

 

2002 Team Uniform style/color

(style, color cannot be changed without written permission of board)

Please check: Returning player                                                                        New player

 

Position                                                               Secondary position(s)

 

Check if team captain or team contact

 

Coach(s) name, daytime and evening phone #

 

I, the undersigned, assume all risks and hazards incidental to such participation in the Newtown Women’s Softball League and I hereby waive, release, absolve, indemnify and agree to hold harmless the Newtown Recreation Department, any sponsor, league member of team arising out of injury. Participation is at my own risk. There is no medical insurance coverage.

 

Print name                                                                                          Date

 

Signature

 

Mail this form with attached qualification documents and $10 check (made out to Newtown Women’s Softball) to Jackie Kulikowski, 191 Brushy Hill Road, Newtown, 06470. All forms must be mailed by April 25 and received by May 1. Any questions, call Jackie Kulikowski at (203) 426-0774 or Jody Murphy at (203) 270-1776. For quickest response, email diamondgirl06482@aol.com.