CANNING SOFTBALL ASSOCIATION
PO BOX 834 CANNING
TEAM REGISTRATION FORM WINTER 2017
TEAM NAME
SHIRT COLOUR
TEAM DELEGATE
DELEGATE ADDRESS
PREFERRED GRADE
PANTS COLOUR:
HAT COLOUR
DELEGATE EMAIL
DELEGATE PHONE
NOMINATED TEAM/TEAM MEMBERS WILL BE ATTENDING THE WORLD MASTERS GAMES IN NEW ZEALAND IN APRIL 2017?
TEAM PLAYER DETAILS
PLAYER
ADDRESS
Team Delegate Signature
YES NO 
DATE OF BIRTH
Team Fees: $1000 per team
Discount of $100 per team if full fees are paid by 29th April 2017
___________________________________________
THIS FORM TO BE RETURNED NO LATER THAN MARCH 1 2017