Registration Form Associate/Pick Up Players

An Associate Membership enables a member to:

- Play in EMASS pick-up games.
- On a limited basis be considered as a pool player in certain divisions.
- Be assigned to a team as a scorekeeper, coach, or manager.
- Attend the EMASS Banquet at the EMASS "member rate."
- Play on EMASS Cape Tournament Teams

Pricing

Regular pricing until Saturday, September 30, 2017$25.00

Before registering please read the Registration Information by clicking here.

You will be asked to agree to a waiver of liability. To read the waiver, please click here.

Fields marked with an asterisk (*) are required.

I have read the Registration Information and understand it (*):Yes
First name (*):
Last name (*):
Were you a registered member of EMASS in 2016 (*):Yes No
Year of birth (YYYY) (*):
Address (*):
Address:
City (*):
State (*):
Zip code (*):
Preferred phone number (*):
Alternate phone number:
Email address (*):
Re-type e-mail address (must match above) (*):
Password (used to sign into the Members Only section) (*):
Emergency contact name (*):
Emergency contact phone number (*):
Please read the waiver (click here). By typing "I AGREE" below, you acknowledge that you have read the waiver and agree to it.
Type "I AGREE" in all capital letters (*):
Payment option (*):Credit Card Check
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PLEASE REVIEW ALL INFORMATION TO MAKE SURE IT IS CORRECT BEFORE SUBMITTING THIS FORM.
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