Raiders logo

seniorregistration
senior registration form - season 2009/2010
senior players and administrators
Eastern Raiders Softball Club
registered inc no A0021514T

please complete a separate form for each family member
* = required information

Please note: membership is subject to committee approval

personal details

first name *
last name *

address*

suburb*
postcode*

telephone (h) *
mobile

email address *
date of birth

occupation
work phone
extra information
Are you registering as a: *
player coach umpire
scorer administrator  
Do you have any accreditation as a:
coach - level umpire - level scorer - level
Have you played softball with any club other than Eastern Raiders in the last three years? If so, please complete the following: Yes No

club
season date(s)
association
Tick this box if you do not want your photo to appear on our website.
Are you or someone you know interested in helping the club with any of the following?
please check any or all boxes.
paid umpiring fundraising days coaching
scoring committee duties setting up diamonds on Saturday

fees
Please indicate which fees you will be paying:
A Grade/A Reserve - $225 B Grade/B Reserve/C Grade - $200

uniforms/supporter items
Please indicate which item/s you need:
  $ size qty
red top (sizes: 12-20 ) 35
pants (sizes: 10-24) 42
socks (sizes: jnr or snr) 14
black winter jacket (sizes: S,M,L,XL) 50
red warm-up jacket (sizes: S,M,L,XL) 87
black ersc logo cap 10  
black ersc logo visor 10  
comments

Your personal information will be used only for the purposes of registering with, or purchasing or hiring uniform items and/or kit from Eastern Raiders Softball Club.  For registration purposes, it also is passed to Waverley Softball Association and Victorian Softball Association.

It will not be given to any other person or organisation.