Sheffield Minor Ball 2018 Registration
DEADLINE FOR REGISTRATION MARCH 1, 2018
All registrations received after this date will be charged $50 Late Fee

Email: sheffieldminorball@gmail.com  Web Page www.fmsa.ca


 

Participants:
Information Name: _________________________________________
Date of Birth: ___________________________
Telephone # h: ___________________________ c: _________________________
Street Address: ________________________________________________________ Postal Code: ___________________
City: _________________________________    Medical Information:
Family Doctor: ___________________________Phone #:____________________
Allergies/ Health Conditions: ______________________________________________________________ Parent(s)/Guardian(s) Information
1) Name: __________________________ Phone#: ____________________
Email: ____________________________________________
2) Name: __________________________ Phone#: ____________________
Email: _____________________________________________
Emergency Contacts
Name: ___________________________Phone #______________________ Year

 

Year Born  Level  Gender  Registration Fee (includes new uniform jersey) Payment Option:
    Female Male   Etransfer Cash Cheque
2015-2014  Blastball     $100      
2013-2012  T-Ball     $100      
2011-2010 Grasshopper     $100      
2009-2008  Atom     $100      
2007-2006 Squirt     $100      
2005-2004 Pee-Wee     $100      
2003-2002 Bantam     $125      
2001-2000 Midget/Junior     $125      

*Registration Fee includes participants’ ball jersey with individual family name *
 
Consent for use of Picture in Team Pictures by Sheffield Minor Ball   Yes __ No__
 
Liability Acknowledgement & Parents’ Consent: As a parent/legal guardian of the above named minor, I hereby give my consent and approval to his/her participation in any and all activities of the Flamborough Minor Softball Association for the current year of 2018. I acknowledge that participation involves risk of injury, minor or serious, including the possibility of permanent disability. I understand that this activity is governed by rules and regulations which are designed for the safety and protection of its participants. I hereby undertake to assure that the above named minor understands and abides by all such rules and regulations. I also understand that this activity requires minimum of fitness for safe participation.
 
Parent(s)/Guardian(s) Signature _____________________________
Date _______________________
 
E-transfers must be received with registration forms to be placed on a team. If payment is preferred by cheque/cash please bring completed registration form and payment to 1357 Hwy #8.


*** If you would like a PDF copy of this form that you can fill in online, please email sheffieldminorball@gmail.com and we will email one to you directly.



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