Calgary Women's Fastpitch Ass.
P.O. Box 74177 RPO Strathcona
Calgary, AB T3H 3B6
E-mail: byron.stephen12@gmail.com
website: www.cwfa.ca

2022 AUTHORIZATION TO RELEASE INFORMATION

I, a representative of the a team associated with the Calgary Women's Fastpitch Association, hereby authorize the Calgary Women's Fastpitch Association to utilize the information noted below for the purpose of creating a contact list for it's member teams.

I further authorize the release of this information by the Calgary Women's Softball Association to other members of the associationand affiliated bodies, including but not limiting to Softball Alberta, and Softball Calgary, for the purposes of facilitating contact of member teams.

TEAM NAME:
REPRESENTATIVES NAME:
POSITION WITH TEAM:
MAILING ADDRESS:
TELEPHONE NUMBER:
CELL NUMBER:
E-MAIL ADDRESS:
ALT. E-MAIL ADDRESS:
Dated at the City of Calgary, in the Province of Alberta this th day in , in the year . This authorization expires in 12 months after the date noted above.