Chesterfield Virginia Senior Softball Association Chesterfield Virginia Senior Softball Association

Chesterfield Senior Softball Registration Form

CSSA 2024 Registration Form
Deadline May 1, 2024

In 2024 our league plays from June--September.
The co-ed league plays on Mondays.
The men's league plays on Thursdays.
The field is yet to be determined.

Complete this form, print it, and mail your completed Registration form with your check to :
Chesterfield Senior Softball Association
PO Box 2713
Chesterfield VA 23832

Men's League
 Thursday Night $70.00
Spring Co-ed League (Draft) Monday Night $70.00
Our leagues play from June through September in 2024. The 2024 Season is expected to start in mid-June once the fields at Daniel Park are made available for play.



Player Information

Name Home Phone
Date of Birth Mobile Phone
Home Address Email
City or County Zip Code
Shirt Size S M L XL 2XL Preferred Number
Emergency Contact Phone Number
Positions Played P C 1st 2nd 3rd SS OF Preferred Position #1 _________ #2 _________ #3 _________

Men's League

Posse Young Virginians Players Hog Polers
I am registering with a new team Team Name:
I am a new player and need a team

Coed League (Draft)

I would like to play with Relationship to player
Team assignments: Priority assignments will be given to family members or first year players with individuals who brought them into the league.
Only (1) family/friend assignment per player

Leadership Opportunities

Leadership/Participation: Please indicate if you may be willing to serve CSSA in some capacity: (Checking the box only obligates you to discuss the possibilities with a board member.)
Team Manager Board Member Tournament Committee
Rules Committee Fall Ball Committee Other / Not sure

Registration Fees

Men's League (50+) $70 $
Coed League (Men 50+; Women 40+) $70 $
Non-Resident Fee $15 $
Late Fee (after May 1, 2024) $10 $
Total $
***Sponsors: If you want to sponsor or know of a company that may want to be a team sponsor or otherwise donate to our league, please contact Jeff Davis at 804-441-1322.

Player Release and Waiver of Responsibility

Every player must sign this form to be allowed to play.


PLEASE READ BEFORE ACKNOWLEDGING:

In consideration of the acceptance of my application for registration in the Chesterfield Senior Softball Association (CSSA), I have and do hereby assume all risks connected to the Chesterfield Senior Softball Association activities. I hereby for myself, my heirs, executors, administrators, and assigns, waive and release and discharge any and all rights and claims for damages and/or losses which I may have against the Chesterfield Senior Softball Association, its officers, board members and/or agents, for any and all activities connected with the Chesterfield Senior Softball Association. I understand the meaning of this agreement and my signature hereon indicates that it is a voluntary act on my part.

Player Name (Please Print )
Cell Phone Number
 
_________________________________________
Signature
__________________________________________
Date



For office use only

Check # ______________ Balance ______________
Rec'd by ______________ Cash ______________
Date Rec'd ______________ Total Paid ______________