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.