Registration for 2010
LB/OC Surf & Sun Softball League
Open Division Membership Application

Applicant Information
First Name:   Last Name:
Date of Birth
(mm/dd/yyyy): 		  Home Phone: Cell Phone:
Mailing Address1   Mailing Address2:
City:   State: Zip
Email Address   Check here if you do not want your email address added to the Surf & Sun mailing list
How Did You Hear About Us:   Non Resident (outside LA/OC/Riverside): Non Gay:
Emergency Contact
Name of Person to contact in an emergency:      
City:   Phone:
Team Affiliation
Team Affiliation: Rating/ Classification (if Known): Years Playing Softball:
Release Waiver & Assumption of Risk
In consideration of this application, I hereby agree to release, indemnify, and hold harmless The LB / OC Surf & Sun Softball League, its officers and / or its representatives from any claim arising out of injury that I may sustain as a team participant or spectator. Further, I understand that the league does not furnish any medical insurance.
I understand that my likeness may appear in standard League photographs, and hereby relinquish all rights to said likenesses.

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