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Elmira Minor Softball Association
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2025 Elmira Heat Online Player Registration Form
*
Parent First Name:
*
Parent Last Name:
*
Street Address:
*
City:
*
Postal Code:
*
Phone:
*
Email:
*
Alternate Contact:
*
Alternate's Phone:
*
Player's First Name:
*
Player's Last Name:
*
Gender:
Male
Female
*
Birthdate:
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
*
Medical Conditions:
*
Division:
U09 (2016-2017) Boys Fastball: registration fee $275.00
U11 (2014-2015) Boys Fastball: registration fee $275.00
U13 (2012-2013) Boys Fastball: registration fee $275.00
U15 (2010-2011) Boys Fastball: registration fee $275.00
U17 (2008-2009) Boys Fastball: registration fee $275.00
U20 (2005-2007) Boys Fastball: registration fee $275.00
Please note that tryouts maybe required depending on number of registrants.
EMSA hereby has permission to seek medical attention for my son and share the above information with coaches.
I/we agree with the above
*
EMSA reserves the right to use any photograph/video taken at any event sponsored by EMSA, without the expressed written permission of those included within the photograph/video.
I/we agree with the above
*
To complete the registration please press 'Submit Form' on this page and then press the 'Checkout - click here to complete registration' option on the next page.
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IMPORTANT NOTE:
When submitting e-transfers, please include the following in the comments field:
Player's Name - particularly if last names are different
Team for which the player is registering - U9, U11, U13, U15, U17, U20
E-transfers should be submitted to registration@elmiraheat.ca
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* indicates required fields