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 ____________
1.___________________________________ _____________________________
2.___________________________________ _____________________________
3.___________________________________ _____________________________
4.___________________________________ _____________________________
5.___________________________________ _____________________________
6.___________________________________ _____________________________
7.___________________________________ _____________________________
8.___________________________________ _____________________________
9.___________________________________ _____________________________
10.___________________________________ _____________________________
11.___________________________________ _____________________________
12.___________________________________ _____________________________
13.___________________________________ _____________________________
14.___________________________________ _____________________________
15.___________________________________ _____________________________
16.___________________________________ _____________________________
17.___________________________________ _____________________________