Edmonton 45/50+ Slo-Pitch Association - ESSPA.ca
2021 Guest / Trialist and Spare Registration Form
Last Name: ___________________________First Name: ____________________________
Mailing Address: ________________________________City:_________________________
Postal Code: __________ Home Ph: ___________________ Cell Ph: ___________________
E-Mail Address: __________________________________________ Male: ___Female: ____
(Used for league communications only)
Date of Birth: _____/_____ /__________ mm/dd/yr (required for insurance purposes)
Divisions: 5- 60+ ____ 4- Brawner, ____ 3-Hanson, ____ 2-Hirsch, ____ 1-Cuthbertson, ____ Unknown _____
Select one or all that apply
In consideration of my being allowed to attend at or participate in any way in this slo-pitch league, I warrant that I am physically fit to participate and of legal age and competent to sign and agree that a benefit is realized by me through attendance at ESSPA events and games. I hereby for myself, my heirs, executors, administrators, successors and assigns release from liability and agree to indemnify and hold blameless the promoters, all other participants, officials, sponsors, advertisers, league executive, owners and/or operators of the premises and facilities, and each of them and any of their agents, employees or representatives or otherwise, during my participation and/or attendance at the event. In addition, I knowingly and freely assume all risks and full responsibility for my participation and/or attendance, commencing or continuing AND I hereby grant ESSPA and their agents the irrevocable right to use my name, face or other likeness for all purposes. All members are assumed to approve the use of their photo for ESSPA use. If you do not want your photo used by ESSPA for any purpose notification must be made in writing to the Registrar either electronically or by standard mail to be acknowledged by same. I consent to all rules & policies of ESSPA.
Playoff restriction: Trialists and Spares are not eligible for playoffs unless they convert to a full membership and participate in a minimum of 6 regular season games as a full member on a team in that division. Spare fees can be applied to a regular pro-rated membership and are due at the time of registration.
Signature: ____________________________________ Date: _________________________