USSSA BASEBALL OF NEVADA

P.O. BOX 50517                                            LEAGUE APPLICATION

HENDERSON, NEVADA  89016

Team Name: _______________________________________

Age of Team: ______________________

Managers Name: ____________________________________

Address: __________________________________________

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Phone Number:_______________________  Cell Number: __________________

 Email Address: (MUST) ____________________________________________________

League Fees:                                                                                                            Total Amount Due

10 Game Minimum   Plus championship games                                                                $  1100.00

USSSA Yearly  Registration On-Line    (August to July)-------MUST PUT ROSTER ONLINE USSSA 

go to www.usssa.com  to register team and put roster on line

Insurance:    Go to www.usssa.com to purchase your insurance.  (Insurance is calendar year (Jan-Dec)

Schedule Request: ___________________________________________________________________

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I agree to all the above information given:

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MANAGER'S SIGNATURE