You are on page 1of 1

BENTLEY MINOR BALL

REG/FUND#_____________

AGM and Registration Night, March 10, 2016


Bentley School Library, 7 pm
If we don't have enough coaches or Board Members this Program will not run.

UNIFORM#______________

Contacts: Alexis 403-748-2491 (403-506-7383), Karen 403-748-2918


FaceBook: Bentley Minor Ball
Name of player:____________________________________________________
Parents/Guardians:_______________________________________________
Age:_________
Address:___________________________________________________________
Home Phone:_______________________
Cell:______________________
Cell:_____________________
Health Care #:___________________________________________________
Email Address:_______________________________________________________________________
Sex:
Male/Female
Birthdate:
___________Yr/___________Mo/_________Day/
DESIRED CATEGORY TO PLAY ON:_______________________________________
BASEBALL
Category (Age) Year Born
Early Registration Fundraising Total
After AGM
Uniform Deposit
Tee Ball (4) 2012
$40
$40
$50
Rally
(5-7) 2011/2009
$75
$60
$135
$100
Rookie
(8-9) 2008/2007
$75
$60
$135
$100
Mosquito (10-11) 2006-2005
$125
$60
$185
$210
$50
PeeWee (12-13) 2004-2003
$125
$60
$185
$210
$50
Bantam
(14-15) 2002-2001
$125
$60
$185
$210
$50
SOFTBALL
Category (Age) Year Born
Early Registration Fundraising Total
After AGM
Uniform Deposit
U-12
(<12) 2004
$125
$60
$185
$210
$50
U-14
(13-14) 2003-2002
$125
$60
$185
$210
$50
U-16
(15-16) 2001-2000
$125
$60
$185
$210
$50
U-19
(17-19) 1999-1997
$125
$60
$185
$210
$50
*Please make out 2 cheques. One for registration & fundraising and other for uniform deposit
*I would like to coach
YES
NO
*Criminal Check is required to coach
*If picked to coach, your registration fee for ONE CHILD will be returned at end of season
*All Baseball/Softball Players are required to pay registration, fundraising & uniform deposit BEFORE PLAYING
*Board Members will be refunded registration fee for ONE CHILD at end of season
*Fundraising-each family involved in ball is required to sell 1 case of chocolates. Once sold, you keep the $60.
*Please read Code of Conduct on Baseball Alberta website and Softball Alberta website
*Tenatively Baseball Practice Mon/Wed and Softball Practice Tues/Thurs.

CUT OFF FOR REGISTRATION IS APRIL 8, 2016


The above player has my permission to participate in the above program. I do hereby release, absolve, indemnify
and save harmless Bentley Minor Ball, their board members, supervisors and coaches and any and all of them, from
claim which I or the said player may have as a result of his/her participation. I do assume all the risks and hazards incidental
to this activity and hereby waive all claims against the above organization.

Parent/Guardian Signature:___________________________________________Date:_______________

You might also like