Digby Area Minor Baseball Association

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2015 Digby Minor Baseball Registration

PLAYER INFORMATION

* First Name:

* Last Name:

Civic Address:

City:

Mailing Address:

Province:

Postal Code:

* Home Phone:

* Birthdate:

* Email:

PLAYER LEVEL

* DIVISION:

MIDGET : Age 16-18 $95.00

BANTAM : Age 14-15 $95.00

PEEWEE : Age 12-13 $75.00

MOSQUITO : Age 9-11 $75.00

DEVELOPMENTAL : Age 5-8 $35.00

Age of player for baseball purposes is the age that the player will be on December 31, 2015

* Firstname:

PARENT/GUARDIAN #1

* Lastname:

EMail:

Home Phone:

Work Phone:

Cell Phone:

PARENT/GUARDIAN #2

Firstname:

Lastname:

Email:

Home Phone:

Work Phone:

Cell Phone:

MEDICAL/EMERGENCY CONTACT INFORMATION

* Emergency Contact:

* Phone:

Relationship to Player:

WAIVER INFORMATION

Medical Waiver:
In case of any injury to my son/daughter named above and I/we are not present, I/we give permission to any of my child's coaching staff to take my son/daughter to the hospital or medical centre or physician's office and I/we consent to any recommended treatment

Signed : ___________________________________________ Parent/Guardian

I/we agree with the above *

* indicates required fields

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2015 Digby Minor Baseball Registration