2021 WMSPL REGISTRATION FORM
NEW PLAYER

Please provide the information requested and mail to:
WMSPL 19 Ribblesdale Drive, Whitby, Ontario, L1N 6Z3

First Name: ____________________________ Last Name: ____________________________  
Address: _______________________________________________________________________________  
Postal Code: ____________________________ Town/City: ____________________________  
Primary Phone: _____________________________ Secondary Phone: ____________________________  
E-Mail Address: ____________________________ Date of Birth (m/d/yyyy): ____________________________  

CONDITIONS, RELEASES AND INDEMNITIES - PLEASE READ CAREFULLY

As a condition of registration to play, the player must sign this form indicating that he acknowledges that the Whitby Men’s Slo-Pitch League does not insure players, umpires or any voluntary associates of the league and does not accept any liability for any injuries, damages or losses of any nature. I exonerate the Whitby Men’s Slo-Pitch League, its officers and executive from any claim in this respect.


PHOTO/IMAGE RELEASE AND WAIVER

I give permission for the Whitby Men's Slo-Pitch League, its officers and executive the right to use my photograph/image/video recording/likeness (“My Image”) for the sole purpose of advertising and publicity, and I understand that my identity will remain anonymous in conjunction with any media format used in marketing.

  How did you hear about us?
 
 
 
 
 
 
 
 


A photocopy of your driver’s license must be attached (proof of residency and age eligibility).

2021 FEE -$240. (may be prorated if mid season)
N.S.F. CHEQUE CHARGES ARE $20.00

Make your cheque payable to Whitby Men’s Slo-Pitch League.

I accept the rules and constitution of the league.
I am a resident of Durham Region and I will be at least 27 years old by December 31, 2021 . I have read and accept the above conditions and that the information that I have provided is correct:


Signature: _____________________________ Date: ____________________________