Huntsville Adult Softball Association - HASA - (Huntsville, TX)

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TEAM INFORMATION

* Email:

* MANAGER - First Name:

* MANAGER - Last Name:

* Street:

* City:

* State:

* Zip Code:

* Cell Phone:

* TEAM NAME:

* We're a C Division Team or we're a D Division Team:

Birthdate:

Gender:

* $385 entry fee paid by: Check, MO, Cash, PayPal, Venmo or Zelle:

I/we agree with the above *

MEDICAL/EMERGENCY CONTACT INFORMATION

Emergency Contact:

Phone:

Relationship to Player:

Insurance Carrier:

Policy #:

WAIVER INFORMATION

*** Insert your waiver information here ***

* indicates required fields

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