Deadline: March 12, 2010
Annual MCSSA dues are $5.00 per year. To participate in
our activities, membership is required.
Fill out and mail in this form.
I want to play in the Super Senior Coed Monday mornings draft
League ($35) $
________
I want to play in the 60+ Tuesday/Thursday mornings draft league
($55)
$ ________
I want to play in the 50+ draft league on Friday nights ($65)
$________
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 manage a team in one of the leagues? YES
NO
What positions do you
play?
What playing dates will you miss?
Mail copy of this form with check for TOTAL AMOUNT DUE
payable to MCSSA to:
MCSSA
14320 Fairdale Road
Silver Spring MD 20905
