City of…

                                                             City of Burbank                         FOR OFFICE USE ONLY:




                                                                                                                            Pullout Form
                                          Park, Recreation, & Community Services Department
                                                                                                     Receipt #: _________
                                                     Sports Office - (818)238-5330
                                                                                                     AMT PD: __________

               200_ SOFTBALL LEAGUE REGISTRATION

Team Name _________________________________ Sponsor___________________________
Team Manager __________________________ Address _______________________________
City___________________ Zip ______ Hm. Ph. ________________ Cel/Pgr ______________
email:__________________________________________                                      Wk. Ph.#: ____________________
Form of payment:                  CASH            CHECK (w/driver's lic.)                     VISA       MASTERCARD
                 Checks returned for lack of funds or credit card denied will disqualify the team from the program.

Credit Card #: _________________________________________________ Exp: ____________
Cardholder's Signature: ____________________________________________

        CHURCH (Summer Only)/CORPORATE COED/MEN'S SLOW
        PITCH/MEN'S FAST PITCH/MODIFIED FAST PITCH/OPEN
           COED/WOMEN'S FAST PITCH (Summer & Fall only)
Please check all that apply:                                            Please check one:
[   ]   Returning Summer Team (NAME: _________)                         [   ]   Church (Fri)
[   ]   Returning Winter Team (NAME: _________)                         [   ]   Corporate Coed (Mon)
[   ]   Returning Fall Team (NAME: __________)                          [   ]   Men's Slow Pitch Team (Tue/Thu)
[   ]   New Team                                                        [   ]   Men's Fast Pitch Team (Wed)
                                                                        [   ]   Modified Fast Pitch Team (Fri)
                                                                        [   ]   Open Coed (Sun)
                                                                        [   ]   Women's Fast Pitch Team (Sun)
        Men's Slow Pitch Teams Only
        Please rank all the nights that your team will be able to play.
        NOTE: THE MORE NIGHTS YOUR TEAM IS AVAILABLE TO PLAY, THE BETTER IT CAN BE CLASSIFIED.
        Once assigned a night, your team will remain on that night for the season.

             [ ] TUESDAY (30 teams)                                                 [ ] THURSDAY (30 teams)


                                    TEAM EVALUATION FORM
                                         (all teams please complete)
          AVERAGE AGE OF PLAYERS ON TEAM ?

          HOW MANY YEARS HAS THIS TEAM PLAYED TOGETHER ?
          PLEASE RATE YOUR TEAM TO ASSIST IN TEAM PLACEMENT.
          COMPETITIVE ATTITUDE ?
          CIRCLE ONE:         RECREATIONAL                  COMPETITIVE                          VERY COMPETITIVE
          OVERALL TEAM RATING ("A" BEING THE HIGHEST)?
          CIRCLE ONE:                     A                 B                   C                D              E
          OTHER COMMENTS:




         TEAM MANAGER'S SIGNATURE                                                                    DATE
NOTE: Registration will be taken on a first come basis. No spots are reserved for returning teams.