‘A’ LEAGUE CONTRACT

PENNSYLVANIA CONNIE MACK BASEBALL, INC.

NORTH WALES PA 19454

PLEASE PRINT EXCEPT FOR SIGNATURES - DO NOT USE PENCIL

PLAYER’S NAME________________________________________________________

(LAST) (FIRST)

Mailing Address

(STREET)___________________________________ (CITY)___________________(ZIP)_________

HOME TEL. NO._____________________________

(Please include Area Code)

DATE OF BIRTH______________________TOWNSHIP / BOROUGH_________________________

Name of Township / Borough MUST be entered on form.

SCHOOL ATTENDING _______________________________________________________________

GUARDIAN’s MOTHER’S

NAME _______________________________ MAIDEN NAME_______________________________

(Please PRINT) (Please PRINT)

SIGNATURE OF PLAYER__________________ DATE _________________________

*************************************************************************************

The Parent or Guardian declares that permission has been granted to the Player to play with the said Club, and that said Club is released from any responsibility or liability for any claim for damage which the said Parent or Guardian or Player may have by reason of any mishap, accident or injury received by the said Club or in traveling to or from the playing field on which any game, exhibition or practice may be conducted.

The parent or Guardian also declares that the Township / Borough listed above is the PRIMARY and REGULAR residence of the Player.

DATE_______________ SIGNATURE of PARENT / GUARDIAN_____________________________

*************************************************************************************

NAME OF TEAM______________________________________________________________________

NAME OF MANAGER (Please Print)____________________________Signature___________________

Manager Mailing Address

(STREET)___________________________________ (CITY)___________________(ZIP)____________

HOME TEL. NO.______________________________OFFICE TEL.NO__________________________ (Please include Area Code) (Please include Area Code)

CELL PHONE NO._____________________________

E-MAIL ADDRESS_____________________________

1/2003