PCSSA Registration Spring 2024 (Sub Only)

* Required Fields
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Fee: $70.00Must be paid by 3/3/2024.
Your Registration Type selection will affect the fee you will pay. The Total Due field at the bottom of the registration form reflects the dollar amount you have to pay. The Fees are:  
  - Active Player - $70
  - Non-Playing/Assistant Manager/Coach - $50
  - Sub Player w/Sub or 2023/2024 Team Jersey - $20
  - Sub Player w/o Sub or 2023/2024 Team Jersey - $50
  - Volunteer - $0
You must have a league Jersey to sub.
Depending on the total number of registrants and individual player ratings, there may be two playing divisions - American and Mid-American.
The registration form below will have two options for preferred division: "Either Division", or "Mid-American Division Only".
Those indicating "Either Division" will be included in the American Division draft. Those not drafted by an American Division team will be included in the Mid-American Division draft along with those who indicated "Mid-American Division Only".
*PCSSA Terms and Conditions
 Failure to adhere to the PCSSA rules may result in suspension or expulsion from the league. In addition, all players are expected to follow common courtesy, as team members, which includes but is not limited to 1) notifying managers in advance of games to be missed, 2) arriving 30 minutes before your scheduled game, 3) assisting with periodic, team-assigned, field prep activities and 4) grooming the field after games. 
Please Read
 Use proper format as indicated in sample. Use proper capitalization in names (first letter capitalize in first and last name only). Click "Pay In Person" when done. If form does not disappear, check for completeness of required fields. Non-Playing managers must check the appropriate box in both the Primary and Secondary position selection. 
*Residency Requirement
 I understand that PCSSA By-Laws require that I am a Pebble Creek resident for at least 90 days. (If you are unable to commit to this requirement, please cancel this registration). 
Participant
*Registration Type
*First Name
*Last Name
*Email
*Phone Number (XXX-XXX-XXXX)
*Emergency Contact
*Emergency Contact Phone Number (XXX-XXX-XXXX)
*BirthDate (MM/DD/YYYY)
*Pebble Creek Address:
*Unit-Lot:
*Own or Rent
If Renting - Rental Start Date
Rental End Date
Player Profile
*Preferred Division Level
*Primary Position
*Secondary Position
*Shirt Size
*Jersey Number
*Days Available to Play
Number of Active Years in the PCSSA
*Enter Your First Year In The PCSSA (YYYY)
If you will be not be available at the start of the season (4/9/2024), enter below, the date you will be available for your first game.
*Date Available for your First Game (MM/DD/YYYY)
Don't type in this field
Volunteering Opportunities (select as many as you like):
Umpire
 Umpire 
Score Keeper
 Score Keeper 
Field Maintenance
 Field Maintenance 
PA Announcer
 PA Announcer 
Events
 Events 
Other
 Other 
*Waiver, Release of Liability and Indemnification
 By checking this box, I have read and agree to the PCSSA Waiver, Release of Liability and Indemnification (under "League Documents" on the website). 
*Remit dues by:
 Remit dues before 3/3/2024 to be eligible for the draft 
Pay by check to PCSSA or electronically via Zelle
 (Please make payment before March 3, 2024)
  
Mail or drop off checks to:
Tom Bose
16342 W Sheila Ln
Goodyear, AZ 85395
 
Electronic payments via Zellepay.com.  Send payment to: tbosePCSSA@yahoo.com
 
Click on "Submit Registration" when done.
Total Due:
$ 
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