Please indicate which leagues you wish to
play in and enclose the proper amount as indicated below. Make check
payable to MCSSA.
Super Senior Draft League Monday Morning
($58)
$______
Men 60+ Draft League Tuesday/Thursday Morning
($55) $______
Men 50+ Draft League Friday Night ($70)
$______
Include $5.00 for Annual MCSSA Membership
$______
Optional: Donation to MCSSA to further MCSSA
goals
$______
TOTAL AMOUNT DUE
$______
NAME:___________________________________________________ phone:_________________
Address:_________________________________________________________________________
City______________________________
State_________ Zip____________ Birth date__________
E-mail_________________________________
Emergency
contact_________________________________________phone_________________
Would you like to be considered to manage a
team? YES NO
Mail copy of this form with check for TOTAL
AMOUNT DUE payable to MCSSA to:
MCSSA- 14320 Fairdale Road- Silver Spring
MD 20905
Deadline: August 1, 2008
