Please provide the following player information:

Player Name
Address
Date of Birth
Summer Team
Home Phone
E-mail

Choose one of the following options:

Ages 8 - 10, Monday & Tuesday, June 16 & 17
Ages 11 - 14, Wednesday & Thursday, June 18 & 19

Please provide the following Emergency Contact information:

Parent Name
Work Phone
Home Phone
E-mail

Remit $25 payment to:    Stone City Softball, attn: Ed Serdar, 22519 Renwick Rd., Plainfield, IL  60544