2015 Registration Form - mississauga majors baseball association
2015 MISSISSAUGA MAJORS BASEBALL REGISTRATION One player per form - Please PRINT clearly Female Male Player's Last Name Given Name(s) Address Phone Number(s) Date of Birth mm Postal Code Home / Work / dd Cell Birth yyyy Certificate Copy Name of School e-Mail It is your responsibility to advise Mississauga Majors if you wish to have your email removed from the Mississauga Majors distribution listing. T-BALL & ROOKIE BALL Includes user fee of $15.00 GIRLS SOFTBALL Includes user fee of $25.00. Senior T-Ball 2010 / 2011 $120 Mite Squirt Rookie Ball 2008 / 2009 $165 Novice Bantam 2006 / 2007 $175 1993 / 1994 / 1995 $300 Tyke/Mosquito Peewee Bantam Midget 2004 / 2005 $260 2002 / 2003 $280 2000 / 2001 $325 1997 / 1998 / 1999 $330 Year Born Cost Check One Ladies Division Junior Midget Year Born 2005 / 2006 2003 / 2004 2001 / 2002 1999 / 2000 1996 / 1997 / 1998 Cost $240 $240 $280 $285 $300 Check One BASEBALL HL Includes user fee of $40 for Tyke/Mosquito and Pee Wee. $60 for Bantam, Midget and Junior. Junior T-Ball Year Born Cost Check One 1992 + over $245 Notes Volunteer Opportunities Team Sponsor Please indicate how you can help. Assistant Coach Coach Responsibility Umpire Privacy Statement Any and all information collected will be used only for the purposes of conducting business in the day to day operations of Mississauga Majors Baseball Association. No information will be used or sold outside of this Association and its affiliates. Also, from time to time it will be necessary for correspondence either through physical or electronic venues. The Mississauga Majors Baseball Association reserves the right to photograph players in uniform. Such photographs may be displayed, without player's names, on the Majors website or the Parent/Player Handbook. I hereby certify the above-mentioned player is a resident of the City of Mississauga. I will be responsible for medical coverage and agree that Mississauga Majors Baseball Association will not be liable for any injuries received while playing at a game or practice. Furthermore, I will adhere to all rules and regulations of the Association and take proper care of the player's uniform and equipment. mm / dd / yyyy Please print name of Parent or Guardian Signature of Parent or Guardian Register Early - Space Limited!! Registration Form, Cheque (payable to Mississauga Majors) and a copy of a birth certificate may be mailed to: Registration Mississauga Majors Baseball Association 380 Jumna Ave. Mississauga ON L5G 1Y4 Phone Sharon Ford 647-927-7717 [email protected] or visit www.mississaugamajors.com for more info. Date A $10 late fee will apply to registrations received after March 28, 2015 Association use only Cheque#_______ Cash Amount $______________ Approved________________________Date______________
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