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                                 TEAM & PLAYER APPLICATION

Tournament Participation Fee
$12 per player
Includes fees for LISSA Umpires, *Tournament T-Shirts, Field Rentals and Softballs.

*Tournament T-Shirts are free to the players from the winning team.

Tournament T-Shirts are available to all players for $12 each or two for $20 on the day of the Tournament.

If you are not a member of a Tournament team you may apply as an individual player, also known as a  Free Agent. 

Any registered team may request a Free Agent to fill out their roster. 

If no registered team requests a Free Agent, new teams will be created consisting of a minimum of 10 Free Agents per team. 

* Required Field

*Print Your Name ____________________________________________________

*Address
___________________________________________________________

 __________________________________________________________________

Email _____________________________________________________________

*Phone #
(______)__________________

*Emergency Contact Phone # (_____)__________________

*Date of Birth _____/_____/______    

By signing below you agree to release and hold harmless the following entities for and from any injuries incurred by you or to your belongings during the Tournament, and that you may be removed from the Tournament if you do not abide by the Rules:
Alan Finchley
New York Senior Softball
US-SSA
Nassau County Department of Parks, Recreation, and Museums


*Signature ________________________________________________

In the event your Application is rejected you will receive a refund in full.

Please mail check or money order to:
New York Senior Softball
PO Box 431
Point Lookout NY 11561