NORTH JERSEY SENIOR SOFTBALL ASSOCIATION

                                       REGISTRATION FORM
 
 
NAME:_____________________________________________                                           
DATE OF BIRTH: ___________________________AGE_________
ADDRESS:___________________________________________  
CITY__________________________STATE___________ZIP      
TELEPHONE:_HOME______________________CELL_________________       
E-MAIL ADDRESS:____________________________________
 
SIGNATURE: _________________________________________
 
 
CHOICE OF AGES:  

AGES 70+ TUESDAY AM______________________

AGES 60+ TUESDAY  AM_____________________
 

PLEASE ANSWER THE QUESTIONS BELOW:

1. How long have you played softball? _________
2. How long has it been since you last played softball? ______________
3. Please rate yourself in the following areas using A,B, or C.

     Hitting _____ Fielding ___ Throwing __Running__      

4. What position(s) do you play?______________________________________

MAIL FORM TO:

GENE STRACCO
58 MOUNTAIN SIDE DR.
RANDOLPH, NJ  07869