TRI COUNTY SOFTBALL

REGISTRATION FORM

10U__________       12U___________         14U____________           16U_____________

PLEASE CHECK ONE

     TEAM NAME _________________________________________________________________________

     DIVISION                              CLUB _______________                                             TOWN _______________

     DIVISION                             NORTH _______________                                           SOUTH _______________

    MANAGERS NAME _________________________________________________________

    CELL PHONE # _____________________________________________________________

    EMAIL   ____________________________________________________________________

   COACHES NAME ____________________________________________________________

   CELL PHONE # ______________________________________________________________

   EMAIL _____________________________________________________________________

    LEAGUE USE ONLY

    LEAGUE FEE ___________

    FOREFIT FEE ___________

    INSURANCE ____________