Player Information and Release Form – Bradenton Senior Softball

Bradenton Senior Softball will be going paperless and cash free starting in the 2023 Winter Season. Payment via Credit Card through Paypal is required as a condition of registration. You will be prompted for payment after you fill in the registration form.

(1) Please complete the form to register for league play

Name *

Email *

Birth Year *

Phone Number *

Please indicate if your phone is a cell phone or land line *

Cell Phone
Land Line

Please add any additional phone number(s) below

Please indicate if your additional phone is a cell phone or land line

Cell Phone
Land Line

Emergency Contact Name *

Emergency Contact Relationship *

Emergency Contact Phone Number *

Are you a full time resident residing in the Bradenton area? *

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Paid Flag

Rating

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Please enter your name below *

Signature *

Website

(2) Please follow this link to pay for your league fees.