MIDDLESEX 60+ RETIRED SOFTBALL LEAGUE

 

REGISTRATION FORM

 

TEAM NAME ___________________________________________ 

 

MANAGER _____________________________________________  

 

STREET ADDRESS_______________________________________

 

TOWN_________________________________ZIP______________

 

HOME PHONE #___________________E-MAIL____________________

 

STATEMENT OF DISCHARGE OF LIABILITY

 

I sign this form as my Voluntary Act and by this Act I agree to exclude the Middlesex

60 Retired Softball League and all its officers and league officials from any claims, suits

or other actions arising from, caused by or which are the alleged result of any Act or

omission by the league.

                                I agree to participate in league play in the Middlesex 60 Retired Softball League at my

own risk and any injuries, which I may incur, will be paid for through my own personal

medical plan, or my own personal funds.

                                This statement remains in effect as long as I participate in the Middlesex 60 Retired

Softball League or until I submit a written request to void this Statement of Discharge

of Liability.

 

LEGAL SIGNATURE  (ALL TEAM MEMBERS MUST SIGN)

 

DATE ____________

 

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