Registration Form - Wednesday
Forms
Peterborough Men's Senior SloPitch – Registration - Wednesday Division
Print off (Ctrl-P) and submit this completed form to the Wednesday Division Coordinator prior to your first game.
The registration fee is $75.
Attach a cheque (no cash) made payable to "Peterborough Men's Senior SloPitch League", or eTransfer the fees to peterboroughsrslopitch@gmail.com
Name ________________________________________________________________
Birth Date (dd/mm/yy): _____________________
Phone # ________________________________
Mailing Address __________________________________________________________________________
__________________________________________________________________________
Email Address _________________________________________________
Partner (if applicable) ________________________________________
Please list any medication, allergies or other issues that may affect your safe participation in senior men's slopitch.
__________________________________________________________________________
I am willing and able to play full time in the Primary Division on Tuesdays and Thursdays if a vacancy arises. (circle one) Yes No
Signature _________________________________________
Note: Before playing your first game you must register with NSA Canada for insurance purposes.
Instructions can be found on the league website at https://peterboroughsrslopitch.org/insurance-registration.htmlCoordinator Use Only (suggested rating 1-7) _________