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i 2012 Adult Softball Registration Information�r��ar��r�11�� (Ph) 651 - 792 -7006 Fax 651 - 792 -7100 Roseville City Hall - 2660 Civic Center Drive — Roseville MN 55113�Ar www.cityofroseville.com /parks Leagues start Friday, April 27, 2012 2012 Team Registration Fees: Men's C, D and One Pitch Leagues $660.00 (10 weeks of Double Headers followed by I night of Playoffs fog^ top 8 teams at the end of the season) Co- Recreational C & D (11 712') $540.00 (12 weeks of single games includes one night playoff fog^ top 8 teams) Note: Lengue jeer include a 60.00 nnie resident /ee, slate taxes and USSSA sairctioiring Jees. 2012 Adult Softball Registration Form This registration form can be mailed, faxed, or delivered in person to: Roseville Parks and Recreation 2660 Civic Center Drive, Roseville, MN 55113 Please Print Clearly Team Name: E -mail Address: Home Phone: Home Address: 2011 (Previous) Team Name: Circle Appropriate 2012 League: Men's Leagues: Sun. Men's D (11 teams) 46007.201 Mon. Men's C (11 teams) 46007.202 Mon. Men's D (16 teams) 46007.203 Tues. Men's C (11 teams) 46007.204 Manager: League # DOB Other Phone: City: Zip: Mgr: Thurs. Men's C (11 teams) 46007.207 Thurs. Men's D (11 teams) 46007.208 Fri. Men's C (11 teams) 46007.209 Fri. Men's D (11 teams) 46007.210 Wed Men's n!/6 reaun.c/ 46007.205 ors -d Men's c rim- «,,,.,) 46007 .206 (Wednesday One Pitch Cancelled!) Payment Method: Cash Check Visa MC Credit Card #: Name on Credit Card Staff Initials Date Rcvd Night: League: Co -Rec Leagues: Tues. Co -Rec. D (13 teams) 46007.211 Tues. Co -Rec C (11 teams) 46007.212 Thurs. Co -Rec C (13 teams) 46007.213 Fri. Co -Rec D (13 teams) 46007.214 American Express Exp Date Amount Paid: