Sheffield Minor Ball 2019 Registration
DEADLINE FOR REGISTRATION MARCH 1, 2019
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) Jersey Number Selection, Top 3 picks for T-ball and up Payment Option:
    Female Male     Etransfer Cash Cheque
2016-2015  Blastball     Free n/a      
2014-2013  T-Ball     $125        
2012-2011 Grasshopper     $125        
2010-2009  Atom     $125        
2008-2007 Squirt     $125        
2006-2005 Pee-Wee     $125        
2004-2003 Bantam     $150        
2002-1998 Midget/Junior     $150        

*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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