GOLDEN GIRLS SOFTBALL ASSOCIATION of the NATIONAL CAPITAL AREA

                        MEMBERSHIP APPLICATION               Due Date: February 10, 2008
If you are new, please read our letter to prospective Golden Girls.

Please print your name and address as you want them to appear in the directory/newsletter:

Name:___________________________________________________________Birthdate: ____/___ /____    
                    Street:______________________________________City:______________________State:_____Zip____________

Fairfax County/City ? Y___   N___                              Home Phone: (______)_________________    
    
Work/Cell Phone:(____)________________      e-mail Address:___________________________________________
     (Only one please. Indicate which)

In case of injury or accident while attending a Golden Girls activity, please contact:

Name:___________________________ Relationship:_____________________ Phone: (____)___________________
(Please list the one phone number most likely available during activities. Only one contact number is recorded in the directory).

Please select either Member or Affiliate:
(   ) Member: — Entitled to vote and play in the league and/or tournaments.
                           Fee**: $40 for the year,  $20 after end of Spring season or for one time only tournament player .
(   ) Affiliate: — Non-playing, non-voting (newsletter and directory only).   Fee**: $15.
(__ )yes (__ ) no Are you willing to receive the newsletter via email instead of a paper copy?
**If yes, and you are joining before March 1, deduct $5 from your fee.

Make check for dues payable to:  Golden Girls and send it with this form to:   P.O. Box 88,  Oakton, VA 22124

Please sign the waiver below.  (Both members and affiliates.) 

I agree that I am participating in Golden Girls practices, games and other activities at my own risk. In consideration of my participation in these events, I assume all risk of injury and I release Golden Girls coaches,officers, agents and game umpires from all liability and agree not to sue for injuries to myself or damage to or loss of my property. I agree to conduct myself in a sportsman like manner and follow the rules established by Golden Girls.

Signature: ___________________________________________________Date: _________________

Members: Please provide the following information.
Check all appropriate boxes: (Teams are selected based on your responses; so please give them careful thought.)
(__  )  I wish to play in tournaments only (not in the league) in age bracket_______(Skip to reverse side). 
OR
(__ ) I wish to be assigned to a league team

(  )   I intend to play:
                  (  )   Weekday evening and Saturday morning
                  (  )   only one day each week (select)   (  )  Weekday.   (  ) Saturday
                  (  )   but, I cannot play on a regular schedule.
 (  ) I also wish to play on a (    ) tournament team and/or (    ) Sr. Olympic team in age bracket _________
League T-shirt size: M _____ L ______ XL ______XXL _______

New League Members: Please describe your playing experience and position preferences. (Are you a pitcher?). If your playing ability is known by another Golden Girl, include her name as a reference.

All Members/Affiliates: If you are joining before March 15, 2008 and you own a business, vacation property, have a service to offer, etc., you may place an "ad" in the Golden Girls directory. If you have a business card or illustration you want scanned in, you may send it and supplement with text, if necessary:
Title:________________________________________________
Street Address: _______________________________________
City, State, Zip: _______________________________________
Telephone:_________________________ Hours: ____________
Short description, including Golden Girls discount, if any:

       Mail application to: Golden Girls, P. O. Box 88, Oakton, VA 22124