/ Gwinnett Senior Softball, Inc.
for 45+ Adults
2018 Membership Application Form
( / Facebook.com) /

Annual Membership Fee$30is required before you can practice or play on league fields. Fee covers administrative expenses and entitles member to year round practice.

First Half – Total $98–Postmarked by February 19– Start Date Week of March 19

Second Half - Total $98–Postmarked by June 22 – Tentative Start Date Week of July 10

NOTE: Application and minimum $30 member fee must be received by the deadline date in order to prepare for the draft. If it is NOT, you will be placed on a “waiting list”.

League Fees are Non-Refundable!!

Please check the amount enclosed with your application:

$ 30 - Annual Membership Fee Only (One Time Fee - Required for ALL Members)

$128 – First Half ($98) and Annual Membership Fee ($30) (postmarked by February 19)

$ 98 – Second Half Only (postmarked by June 22)

Note: Any member who did not play in the First Half is still required to pay the $30
membership fee with their Second Half fee for a total of $128.

$226 - Total for the Year (Annual Membership $30, First Half $98 and Second Half $98)

Checks should be made payable to “GSS”. Mail your check, application and waiver form to:

Doris Warpole, League Secretary -- 5707 High Meadow Drive -- Norcross, GA 30092

Be sure to Read and Sign the Waiver, Release of Liability and
Indemnification Agreement on the reverse side before mailing!!

NOTE: If you are NEW to the league, provide the full name of the member who recruited you. ______

Name______Spouse's Name______

Street Address______

City______State____Zip______County______

Home Phone______Work Phone______

Cell______eMail Address______

Date of Birth______Jersey Size M L XL XXL XXXL

List Position(s) played / preferred______

Circle the percentage of games you will likely attend. 50%75% 90% 100%

Give this some thought before completing. Teams are staffed taking this into consideration.

Are you interested in being a Substitute for another team? Yes______No______

Calling Post used forRainouts! What number do you want called? ______

Emergency #1 (Name/Relationship/Phone)______

Emergency #2 (Name/Relationship/Phone)______

Are you currently playing tournament ball? If yes, what age and skill level? ______

Are you CPR certified? Yes______No______

Playing in Both Leagues: Mark the league you played in last year or wish to play in: National______, American______, Both______% of games to attend in each league? National______American______

New Players and those wishing to play in BOTHleagues will be subject to availability in each leagueand player must meets the Player Movement Guidelines and pay both league fees ($30 Member / $98 per League per half / total for the First Half - $226).