CITY OF SALEM SOFTBALL LEAGUES
PLAYER EXEMPTION FORM
All fields are required.
INSTRUCTIONS:
A separate form is required for each player requesting an exemption from the
league eligibilty rules. This form must be submitted and approved by the Softball Coordinator or Softball Specialist two
days prior to player being allowed to play in a game of a lower classification level.
Player Name _______________________________________________________________________________________
Phone __________________________________________
Date ___________________________________________
Email Address
___________________________________________________________________________________________________
Team requesting to play on __________________________________________________________________________
Indicate your current rating, if applicable:
ASA ____________________________________________
USSSA _________________________________________
List the team(s) that you played for last season:
___________________________________________________________________________________________________
___________________________________________________________________________________________________
___________________________________________________________________________________________________
If you listed more than one team above, which was your primary team last season?
___________________________________________________________________________________________________
Reason for exemption request:
___________________________________________________________________________________________________
___________________________________________________________________________________________________
___________________________________________________________________________________________________
___________________________________________________________________________________________________
SEND THIS FORM TO:
LEAGUE DIRECTORS
Attention: Billy Powers
Billy Powers
City of Salem Public Works Department
Maggie Combs
555 Liberty Street SE, RM 325
Office Phone 503-588-6261
Salem, OR 97301-3513
Fax 503-588-6025
WEBSITE
Registration forms and additional information are available
at
CITY OF SALEM
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REVISED 03/05/2015