UCSSL Registration Form 2024 50's and 60's

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There is NO NEED to SIGN IN to a Gmail account. Just fill out all applicable sections starting with LAST NAME and SUBMIT at end.

IMPORTANT: Each player must submit a registration/waiver form for themselves. You MAY NOT submit a form for another player. This year we will be monitoring the origin of these submissions. If anyone is found to be submitting a form for someone else, both individuals will be suspended for the 2024 season.

LAST NAME *

FIRST NAME *

STREET ADDRESS *

TOWN *

ZIP CODE *

PHONE NUMBER xxx-xxx-xxxx *

EMAIL ADDRESS

Would you like to receive league communications and updates at this email address?

YES

Clear selection

DATE OF BIRTH *

YYYY

AGE AS OF DEC. 31, 2024

HAVE YOU PARTICIPATED IN UCSSL PREVIOUSLY? *

YES

IF "YES" TO THE ABOVE QUESTION, FOR HOW MANY CONSECUTIVE YEARS?

IF YOU ARE CURRENTLY ASSIGNED TO A 50'S TEAM INDICATE BELOW

50's Deegan Roofing (Spellman)

50's Douglas VW

50's Phenomenal Boyz

50's Terawulf (Reyes)

50's Thirsty Turtle

50's Angry Joe's Apparel/Tad Pools (Kilburg)

50's Rocky's Bar & Grill

50's Echo Tap & Grille (Carroll)

50's Suspenders

50's AJ Jersey

50's K Squad

50's Car Revolution (Perez)

I am not assigned to a 50's team, but would like to play

Clear selection

IF YOU ARE CURRENTLY ASSIGNED TO A 60'S TEAM INDICATE BELOW

60's Swan Hotel and Suites

60's Linwood II (Kushner)

60's Linwood Boys (Diguillio)

60's Deegan Roofing (Miller)

60's Awnings Galore

60's Kenilworth VFW

60's NJ Gov. Services

60's Angry Joe's Apparel (Miccio)

60's Yogi's Boys

60's Debellis Associates

60's AJ Jersey (Rosenberg)

I am not assigned to a 60's team but would like to play

Clear selection

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